Medical director requirement
Required for RN and LPN injection; physician oversight mandatory.
Corporate Practice of Medicine
Lenient; MSO and non-physician ownership permitted with physician oversight. This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.
Who can supervise or delegate
NP/PA may inject under physician collaboration agreement; some independent authority permitted depending on practice setting.
How the exam ties in
Required; in-person or telehealth allowed under certain conditions.
What to verify in North Carolina
Establish a clear physician collaboration or delegation agreement and ensure your medical director is licensed and actively involved in protocol oversight.
Primary source: North Carolina Medical Board; Board of Nursing.
General business information for North Carolina medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the North Carolina board (and your own counsel) before you act.