Individual provider Active NPI

Kathleen Lauren Meyer, P.A.-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1497294581
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07080 Issued in NC
Practice address
6419 Carolina Beach Rd Ste a
Wilmington, NC 28412-3672
Phone
(910) 790-3660
Fax
(910) 790-9499
NPI assigned
Feb 22, 2017
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 0010-07080 NC Primary

Addresses

Primary practice location

6419 Carolina Beach Rd Ste a
Wilmington, NC 28412-3672

Mailing address

6419 Carolina Beach Rd Ste a
Wilmington, NC 28412-3672
Phone (910) 790-3660

Other practice location 1

40 Ravenswood Rd
Hampstead, NC 28443-4022
Phone (910) 772-6558

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
I20170515001295 NC Practitioner - Physician Assistant 8325325657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

1222 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

6781 Parker Farm Dr
Suite 200
Wilmington, NC 28405-3161
Phone (910) 341-1540

8064 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540

8068 Market St
Wilmington, NC 28411-9384
Phone (910) 796-7767

8090 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540

8108 B Market St
Wilmington, NC 28411-9386
Phone (910) 341-1540

8114 Market St
Suite 200
Wilmington, NC 28411-9386
Phone (910) 341-1540

9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-1540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07080NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RDMG Associates, PA Physician Assistant Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Apr 3, 2017 Accepting new patients
Wilmington ASC LLC CurrentSince Apr 18, 2023 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Apr 3, 2017 Accepting new patients
Wilmington Health PLLC CurrentSince Apr 18, 2023 Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (919) 267-0421

40 Ravenswood Rd
Hampstead, NC 28443
Phone (910) 343-1031

1200 Hargett St
Jacksonville, NC 28540
Phone (910) 219-1082

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

6419 Carolina Beach Rd
Ste A
Wilmington, NC 28412
Phone (910) 790-3660

Interoperability endpoints

  • Direct secure messaging: kathleen.meyer.p1@direct.wilmingtonhealth.nextgenshare.com
  • Direct secure messaging: kathleenmeyer@mfmpc.allscriptsdirect.net

Organizations & group practices 6

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 1

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1497294581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 CAROLINA BEACH RD STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123672",
            "telephone_number": "910-790-3660",
            "fax_number": "910-790-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 CAROLINA BEACH RD STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123672",
            "telephone_number": "910-790-3660",
            "fax_number": "910-790-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Ravenswood Rd",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284434022",
            "country_code": "US",
            "telephone_number": "910-772-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KATHLEEN",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.