Kathleen Murphy, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-06831 Issued in NC

Practice address

712 Village Rd SW Ste 104
Shallotte, NC 28470

Phone

(910) 754-7607

Fax

(910) 754-7608

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Quickcare Family Practice, PLLC

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899
  Medicare reassignment
• Columbus Family Medical PA

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1114028859
  Medicare reassignment
• Columbus Family Medical PA

  • Primary Care Clinic/Center
  • Shallotte, NC
  • NPI 1215597844
  NPD
• Charlotte Radiology P a

  • Specialist
  • Charlotte, NC
  • NPI 1649220443
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1386778363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 DERBY NOTCH SW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284691337",
            "telephone_number": "302-379-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 VILLAGE RD SW STE 104",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28470",
            "telephone_number": "910-754-7607",
            "fax_number": "910-754-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Ogletown Stanton Rd",
            "address_2": "MAP 1 Suite 128",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132067",
            "country_code": "US",
            "telephone_number": "302-733-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DE",
            "license": "C5-0000553",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cammie Thompson Morris, DDS
• Christopher J Moshoures, O.D.
• Johnny Moyer, N.P.
• Borislav Margaritov Mravkov, M.D.
• Nancy Lee Murdock, DNP FNP-BC
• Francesca Madeline Muscatello, LCASA
• Jean Oliver Myers, PT
• National Vision, Inc.
• Mallory Genine Neill Rogers, LCMHCA, LCAS
• Heather Lyndsay Ness, PT

• Medical Physician Assistant in Shallotte, NC
• Providers in Shallotte, 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 Dec 3, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.