Active NPI
Kaitlyn Ann Madden, PHYSICIAN ASSISTANT
- Physician Assistant
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-15236
- Practice address
- 5160 Ocean Hwy W
Shallotte, NC 28470-4012 - Phone
- (910) 332-3800
- NPI assigned
- Dec 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-15236 | NC | Primary |
Addresses
Primary practice location
5160 Ocean Hwy W
Shallotte, NC 28470-4012
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (610) 636-0405
Other practice location 1
136 Harrison Ave Rm 510A
Boston, MA 02111-1817
Phone (617) 636-0405
Other practice location 2
1168 E Cutlar Xing
Leland, NC 28451-6484
Phone (910) 332-3800
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800
5160 Ocean Hwy W
Shallotte, NC 28470-4012
Phone (910) 332-3800
799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079
8115 Market St
Suite 108
Wilmington, NC 28411-8429
Phone (910) 332-3800
Hospital & facility affiliations
- J Arthur Dosher Memorial Hospital
- Novant Health Brunswick Medical Center
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-15236 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Physician Assistant | Current | Accepting new patients |
Locations
1168 E Cutlar Crossing
Leland, NC 28451
Phone (814) 836-8113
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
5160 Ocean Hwy W
Shallotte, NC 28470
Phone (910) 332-3828
Interoperability endpoints
- kaitlyn.madden.1@847.direct.athenahealth.com
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.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1093584872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "610-636-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 OCEAN HWY W",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704012",
"telephone_number": "910-332-3800"
}
],
"practiceLocations": [
{
"address_1": "136 Harrison Ave Rm 510A",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111817",
"country_code": "US",
"telephone_number": "617-636-0405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1168 E Cutlar Xing",
"address_purpose": "LOCATION",
"city": "Leland",
"state": "NC",
"postal_code": "284516484",
"country_code": "US",
"telephone_number": "910-332-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADDEN",
"first_name": "KAITLYN",
"middle_name": "ANN",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-15236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.