Active NPI
Katherine Michelle Mattingly, PA
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08768
- Practice address
- 8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072 - Phone
- (980) 302-3050
- Fax
- (980) 302-3055
- NPI assigned
- Feb 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0010-08768 | NC | |
| Physician Assistant | 363A00000X | 0010-08768 | NC | Primary |
Addresses
Primary practice location
8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
10905 Providence Rd W
Charlotte, NC 28277-1538
Phone (980) 488-4000
Other practice location 2
200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-4000
Other practice location 3
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5000
Other practice location 4
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-4000
Other practice location 5
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone (704) 377-2424
Other practice location 6
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
Other practice location 7
10650 Park Rd
Charlotte, NC 28210-8538
Phone (704) 667-3840
Other practice location 8
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720
Other practice location 9
2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-6070
Other practice location 10
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
Phone (704) 373-0212
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmattingly499695@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 377-2424
2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-5000
301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 984-4000
307 Yadkin St
Albemarle, NC 28001-3441
Phone (980) 323-6180
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000
Hospital & facility affiliations
- Carolinas Medical Center-Northeast
- Stanly Regional Medical Center
- Novant Health Mint Hill Medical Center
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-08768 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Scotland Regional Health Network | Hospitalist | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Columbus Regional Health Network | Hospitalist | Current | Accepting new patients |
| Mid-Atlantic Emergency Medical Associates, PLLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Hospitalist | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
10650 Park Rd
Charlotte, NC 28210
Phone (704) 667-0337
8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- kmattingly499695@carolinashealthcaresystem.direct-ci.com
- kmattingly1728963@direct.novanthealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1073562757
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1306855846
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1639620107
-
- Surgery Physician
- Bennettsville, SC
- NPI 1942962113
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1003372079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 HEALTHCARE LOOP STE 305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282157072",
"telephone_number": "980-302-3050",
"fax_number": "980-302-3055"
}
],
"practiceLocations": [
{
"address_1": "10905 Providence Rd W",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282771538",
"country_code": "US",
"telephone_number": "980-488-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042515",
"country_code": "US",
"telephone_number": "704-384-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 Mocksville Ave",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281442732",
"country_code": "US",
"telephone_number": "704-210-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Matthews Township Pkwy",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281054656",
"country_code": "US",
"telephone_number": "704-384-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 S Sharon Amity Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282110035",
"country_code": "US",
"telephone_number": "704-377-2424",
"fax_number": "704-377-2687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10628 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108407",
"country_code": "US",
"telephone_number": "704-667-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10650 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-667-3840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-0720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Vail Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071248",
"country_code": "US",
"telephone_number": "704-304-6070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1237 Harding Pl",
"address_2": "Ste 3100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-373-0212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTINGLY",
"first_name": "KATHERINE",
"middle_name": "MICHELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "0010-08768",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08768",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmattingly499695@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "10650 Park Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282108538",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.