Active NPI
Kristina Kohuth, PA-C
- Physician Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08570
- Practice address
- 3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243 - Phone
- (919) 781-5600
- NPI assigned
- Oct 23, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0010-08570 | NC | |
| Physician Assistant | 363A00000X | 0010-08570 | NC | Primary |
Addresses
Primary practice location
3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Mailing address
3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (919) 781-5600
Other practice location 1
1325 Timber Dr E
Garner, NC 27529-6924
Phone (919) 781-5600
Other practice location 2
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone (919) 858-6767
Other names 1
- Kristina Alyse Main
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)
11221 Galleria Ave
Suite 101
Raleigh, NC 27614-8137
Phone (919) 562-9410
1298 N Main St
Fuquay Varina, NC 27526-2615
Phone (919) 590-4099
1325 Timber Dr E
Garner, NC 27529-6924
Phone (919) 781-5600
2000 S Horner Blvd
Sanford, NC 27330-5818
Phone (919) 352-9538
2100 W Cumberland St
Dunn, NC 28334-4446
Phone (910) 304-0112
2200 Treelight Way
Wendell, NC 27591-3200
Phone (919) 374-0900
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 61.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-08570 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem Wellness & Integrative Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Orthopaedic Specialists of North Carolina, P.a. | Current | Accepting new patients |
Locations
6602 Knightdale Blvd
Ste 310
Knightdale, NC 27545
5838 Six Forks Rd
Ste 100
Raleigh, NC 27609
11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247
421 Fayetteville St
Ste 1100
Raleigh, NC 27601
Phone (910) 421-0007
11221 Galleria Ave
#101
Raleigh, NC 27614
Phone 9195629410213
1936 Golden Spur Ln
Wendell, NC 27591
Interoperability endpoints
- kristina.kohuth.1@12529.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1649327750
-
- Urgent Care Clinic/Center
- Fuquay Varina, NC
- NPI 1770135808
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1235137563
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1780479634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1104392588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 EDWARDS MILL RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125243",
"telephone_number": "919-781-5600",
"fax_number": "919-576-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 EDWARDS MILL RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125243",
"telephone_number": "919-781-5600"
}
],
"practiceLocations": [
{
"address_1": "1325 Timber Dr E",
"address_purpose": "LOCATION",
"city": "Garner",
"state": "NC",
"postal_code": "275296924",
"country_code": "US",
"telephone_number": "919-781-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 Fayetteville St Ste 1100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276013000",
"country_code": "US",
"telephone_number": "919-858-6767",
"fax_number": "919-576-1731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHUTH",
"first_name": "KRISTINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "0010-08570",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "MAIN",
"middle_name": "ALYSE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.