Individual provider Active NPI

Katelyn Ann Welch, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1154822468
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07931 Issued in NC
Practice address
2105 Braxton LN Ste 101
Greensboro, NC 27408-2862
Phone
(336) 333-6306
Fax
(336) 333-6309
NPI assigned
Feb 22, 2018
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07931 NC Primary
Neurological Surgery Physician 207T00000X 0010-07931 NC

Addresses

Primary practice location

2105 Braxton LN Ste 101
Greensboro, NC 27408-2862

Mailing address

2105 Braxton LN Ste 101
Greensboro, NC 27408-2862
Phone (336) 333-6306

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-4081

Other practice location 2

329 Nc Highway 801 N
Bermuda Run, NC 27006-7905
Phone (336) 713-2121

Other practice location 3

4590 Premier Dr
High Point, NC 27265-8193
Phone (336) 333-6306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katelyn.welch.p2@direct.sss.nextgenshare.com

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
I20180423000126 NC Practitioner - Physician Assistant 2769745926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07931NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Feb 23, 2018 Accepting new patients

Locations

329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1154822468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LN STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082862",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LN STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082862",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-4081",
            "fax_number": "336-716-3065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Nc Highway 801 N",
            "address_purpose": "LOCATION",
            "city": "Bermuda Run",
            "state": "NC",
            "postal_code": "270067905",
            "country_code": "US",
            "telephone_number": "336-713-2121",
            "fax_number": "336-716-3065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4590 Premier Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658193",
            "country_code": "US",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07931",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "0010-07931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelyn.welch.p2@direct.sss.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2105 Braxton Ln Ste 101",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274082862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.