NPIMap

Individual provider Active NPI

Katherine Grace Duncan, PA-C

  • Physician Assistant
  • Mooresville, NC
National Provider Identifier
1093414484
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12855 Issued in NC
Practice address
144 Fountain PL
Mooresville, NC 28117-0162
Phone
(704) 658-0595
Fax
(704) 658-0916
NPI assigned
Feb 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12855 NC Primary

Addresses

Primary practice location

144 Fountain PL
Mooresville, NC 28117-0162

Mailing address

149 Plantation Ridge Dr Ste 190
Mooresville, NC 28117-9178
Phone (704) 658-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628001189 NC Practitioner - Physician Assistant 3173981834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-12855NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Apr 16, 2023 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Otolaryngology CurrentSince Apr 16, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Mar 10, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Mar 10, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Mar 10, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Carolinas Medical Center Past Accepting new patients

Locations

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884

149 Plantation Ridge Dr
Ste 190
Mooresville, NC 28117
Phone (704) 658-0595

Interoperability endpoints

  • Direct secure messaging: klocher2979580@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1093414484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PLANTATION RIDGE DR STE 190",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179178",
            "telephone_number": "704-658-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FOUNTAIN PL",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281170162",
            "telephone_number": "704-658-0595",
            "fax_number": "704-658-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.