Individual provider Active NPI

Kaitlin Briana McNeill

  • Physician Assistant
  • Star, NC
National Provider Identifier
1467269449
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
103 Cotton Creek Rd
Star, NC 27356-7954
Phone
(910) 492-4646
Fax
(910) 226-7432
NPI assigned
Dec 13, 2024
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 NC Primary

Addresses

Primary practice location

103 Cotton Creek Rd
Star, NC 27356-7954

Mailing address

103 Cotton Creek Rd
Star, NC 27356-7954
Phone (910) 492-4646

Other practice location 1

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: 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
I20251117002912 NC Practitioner - Physician Assistant 4183115272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Cotton Creek Rd
Star, NC 27356-7954
Phone (910) 226-4970

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Nov 24, 2025 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Cfvhs Ed Physicians CurrentSince Nov 24, 2025 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 30, 2025 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 30, 2025 Accepting new patients
Cfvhs Ed Physicians CurrentSince Nov 24, 2025 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 24, 2025 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

103 Cotton Creek Rd
Star, NC 27356
Phone (910) 226-4970

Interoperability endpoints

  • Direct secure messaging: kmcneill@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: kmcneill127314@capefearvalley.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1467269449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COTTON CREEK RD",
            "city": "STAR",
            "state": "NC",
            "postal_code": "273567954",
            "telephone_number": "910-492-4646",
            "fax_number": "910-226-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COTTON CREEK RD",
            "city": "STAR",
            "state": "NC",
            "postal_code": "273567954",
            "telephone_number": "910-492-4646",
            "fax_number": "910-226-7432"
        }
    ],
    "practiceLocations": [
        {
            "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": "MCNEILL",
        "first_name": "KAITLIN",
        "middle_name": "BRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Star, NC

Sources for this page

Verify at the official NPI Registry.