Individual provider Active NPI

Victoria Geib McKenzie

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1093579617
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1000 Aruba Cir
Charleston, SC 29412-8641
Phone
(336) 564-7582
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1000 Aruba Cir
Charleston, SC 29412-8641

Mailing address

1000 Aruba Cir
Charleston, SC 29412-8641
Phone (336) 564-7582

Other practice location 1

5241 Six Forks Rd Ste 100
Raleigh, NC 27609-4431
Phone (919) 785-3400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213004054 NC Practitioner - Physician Assistant 5890275325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians

Practice addresses (Care Compare)

2109 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3571
Phone (910) 486-8880

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Mar 1, 2026 Accepting new patients

Locations

1902 N Sandhills Blvd
Ste A
Aberdeen, NC 28315

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

2109 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 486-8880

2605 Hospital Rd
Goldsboro, NC 27534
Phone (919) 741-7502

3700 Symi Cir
Morehead City, NC 28557
Phone (252) 222-5888

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

110 Turner St
Southern Pines, NC 28387
Phone (910) 725-0361

110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046

4130 Oleander Dr
Ste 100
Wilmington, NC 28403
Phone (910) 200-5242

Organizations & group practices 2

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 2

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1093579617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ARUBA CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128641",
            "telephone_number": "336-564-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ARUBA CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128641",
            "telephone_number": "336-564-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5241 Six Forks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276094431",
            "country_code": "US",
            "telephone_number": "919-785-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEIB MCKENZIE",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.