Kristin A Teague, PA-C, LAT, ATC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-02693 Issued in NC

Practice address

5905 W NC 10 Hwy
Hickory, NC 28602-9732

Phone

(828) 485-8020

NPI assigned

Apr 5, 2006

Last updated

Jan 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

64.95 of 100Reported as group

Quality

38.38

Promoting interoperability

59

Improvement activities

40

Cost

78.95

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Afc Urgent Care and Family Care of WNC, PLLC

  dba Afc Urgent Care

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1679066658
  Medicare reassignment
• Urgent Care of Mountain View PLLC

  • Urgent Care Clinic/Center
  • Hickory, NC
  • NPI 1760767446
  Medicare reassignment
• Catawba Urgent Care of Mountain View LLC

  • Urgent Care Clinic/Center
  • Hickory, NC
  • NPI 1265376917
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1154383073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 BURKE MEADOWS RD",
            "address_2": "APT. 205",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036889",
            "telephone_number": "828-485-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 W NC 10 HWY",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029732",
            "telephone_number": "828-485-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "PA-C, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02693",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hickory",
            "affiliation": "N",
            "address_1": "5905 W Nc 10 Hwy",
            "city": "Hickory",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286029732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cora Taylor
• Edward Andrew Taylor, PHARMD
• Kristin Kamp Taylor
• Tara Leigh Taylor, M.D.
• Heather Anne Teague, MA, LPA
• Melissa London Teague
• Umpai Poopat Tedrow, D.O.
• Jacqueline Teller-Rosado, CDP
• Brandie Terifaj
• Terra C. Caudill, MD, Ms, PLLC

• Medical Physician Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.

Verify at the official NPI Registry.