Katherine Serafen Koonce, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13643 Issued in NC

Practice address

1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070

Phone

(910) 439-9251

NPI assigned

Apr 23, 2019

Last updated

Feb 2, 2026By 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

Medicare fee-for-service enrollment

Enrolled in GA, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Dermatology, PLLCGroup PAC ID 1355560152, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kserafen@directaddress.net

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.

• Sanford Dermatology PLLC

  • Dermatology Physician
  • Sanford, NC
  • NPI 1205240868
  Medicare reassignment Care Compare group
• Generations Family Practice, PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1407902059
  Medicare reassignment
• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Lithonia, GA
  • NPI 1124073721
  Medicare reassignment
• Generations Family Practice, PA

  dba Triad Internal Medicine

  • Internal Medicine Physician
  • Asheboro, NC
  • NPI 1043894504
  NPD
• Generations Family Practice, PA

  dba Rocky Mount Family Medical Center

  • Family Medicine Physician
  • Rocky Mount, NC
  • NPI 1972194868
  NPD
• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Decatur, GA
  • NPI 1215982814
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• First Class Healthcare LLC

  • Health Maintenance Organization
  • Lawrenceville, GA
  • NPI 1639891765
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1194389353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070",
            "telephone_number": "910-439-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "KATHERINE",
        "middle_name": "SERAFEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13643",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Renee Knowles, PA
• Nicole Koenig, RBT
• Sarah Ann Kokosa, PHARM.D.
• Moya Chin Kombrinck, M.D.
• Erica Konopka, DPT
• Leonard K Kovalick, PNP
• Erin Kraus
• KTV Alive
• Ktva Home Care, LLC
• Prabhat Kumar, M.D.

• Physician Assistant in Sanford, NC
• Providers in Sanford, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.