NPIMap

Individual provider Active NPI

Kathryn Vreeland Locklear, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1316130867
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00373 Issued in NC
Practice address
2041 Valleygate Dr
Fayetteville, NC 28304-3745
Phone
(910) 323-5203
Fax
(910) 323-3650
NPI assigned
Aug 18, 2007
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 0010-00373 NC Primary

Addresses

Primary practice location

2041 Valleygate Dr
Fayetteville, NC 28304-3745

Mailing address

2041 Valleygate Dr
Fayetteville, NC 28304-3745
Phone (910) 323-5203

Other practice location 1

2015 Valleygate Dr
Fayetteville, NC 28304-3757
Phone (910) 223-7011

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

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
I20060317000436 NC Practitioner - Physician Assistant 8325055221 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Gastroenterology PAGroup PAC ID 5890787006, 23 clinicians

Practice addresses (Care Compare)

1880 Quiet CV
Fayetteville, NC 28304-3857
Phone (910) 323-2477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00373NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Gastroenterology Associates, P.a. CurrentSince Nov 1, 2014 Accepting new patients
Premier Gastroenterology, PA Past Accepting new patients

Locations

2041 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 323-5203

2041 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 223-7011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJBAA

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

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1316130867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 VALLEYGATE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043745",
            "telephone_number": "910-323-5203",
            "fax_number": "910-323-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 VALLEYGATE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043745",
            "telephone_number": "910-323-5203",
            "fax_number": "910-323-3650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Valleygate Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043757",
            "country_code": "US",
            "telephone_number": "910-223-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "KATHRYN",
        "middle_name": "VREELAND",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.