Individual provider Active NPI

Kacie Matthews, PA

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1235658642
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07441 Issued in NC
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(336) 274-6682
Fax
(336) 274-8097
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 0010-07441 NC Primary

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682

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
I20171110002248 NC Practitioner - Physician Assistant 2365708161 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Diagnostic Radiology and Imaging LLCGroup PAC ID 4183517097, 87 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 274-6682

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 274-6682

1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682

2400 W Friendly Ave
Greensboro, NC 27403-1109
Phone (336) 274-6682

2921 Crossfield Dr
Greensboro, NC 27408-6743
Phone (336) 274-6682

315 W Wendover Ave
Greensboro, NC 27408-8401
Phone (336) 433-5000

4030 Oaks Professional Pkwy
Burlington, NC 27215-8491
Phone (336) 433-5000

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 274-6682

618 S Main St
Reidsville, NC 27320-5020
Phone (336) 274-6682

6199 Lake Brandt Rd
Greensboro, NC 27455-8234
Phone (800) 582-8655

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07441NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiology & Imaging LLC CurrentSince Nov 1, 2017 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Aug 30, 2023 Accepting new patients
Cornerstone Health Care LLC CurrentSince Aug 30, 2023 Accepting new patients

Locations

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1235658642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85378",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895378",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KACIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.