NPIMap

Individual provider Active NPI

Katlyn E Rhodes, PA-C

  • Physician Assistant
  • Goldsboro, NC
National Provider Identifier
1114383528
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06170 Issued in NC
Practice address
102 Handley Park CT
Goldsboro, NC 27534-1769
Phone
(919) 734-3344
Fax
(919) 735-3025
NPI assigned
Jan 14, 2016
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 0010-06170 NC Primary

Addresses

Primary practice location

102 Handley Park CT
Goldsboro, NC 27534-1769

Mailing address

102 Handley Park CT
Goldsboro, NC 27534-1769
Phone (919) 734-3344

Other practice location 1

444 SW Center St
Faison, NC 28341-8820
Phone (910) 267-0421

Other identifiers 1

IdentifierTypeStateIssuer
0010-06170OtherNCNORTH CAROLINA MEDICAL BOARD

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
I20160822000712 NC Practitioner - Physician Assistant 0648565226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

102 Handley Park CT
Goldsboro, NC 27534-1768
Phone (919) 734-3344

1806 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 768-3632

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06170NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Apr 1, 2025 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Apr 1, 2025 Accepting new patients
Whap, PA Past Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

Interoperability endpoints

  • Direct secure messaging: katlyn.rhodes.1@7773.direct.athenahealth.com
  • Direct secure messaging: krhodes@goshenmedical.cloudcraftdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1114383528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HANDLEY PARK CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341769",
            "telephone_number": "919-734-3344",
            "fax_number": "919-735-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HANDLEY PARK CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341769",
            "telephone_number": "919-734-3344",
            "fax_number": "919-735-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 SW Center St",
            "address_purpose": "LOCATION",
            "city": "Faison",
            "state": "NC",
            "postal_code": "283418820",
            "country_code": "US",
            "telephone_number": "910-267-0421",
            "fax_number": "910-267-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "KATLYN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "0010-06170",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.