Kathryn Lynn Willson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4530 Fayetteville Rd
Raleigh, NC 27603-3614

Phone

(919) 235-1930

NPI assigned

Aug 22, 2021

Last updated

Dec 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Wake Specialty Physicians, LLC

  • Surgery Physician
  • Raleigh, NC
  • NPI 1942440375

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Wake Specialty Physicians LLC

  dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park

  • Pediatrics Physician
  • Fuquay Varina, NC
  • NPI 1578334892
  NPD
• Wake Specialty Physicians, LLC

  dba WakeMed MyCare 365 Primary Care & Urgent Care

  • Family Medicine Physician
  • Zebulon, NC
  • NPI 1699361618
  NPD
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Glenwood

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1063096345
  NPD (past)
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Morrisville

  • Family Medicine Physician
  • Morrisville, NC
  • NPI 1174491138
  NPD (past)
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Ten-Ten

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1568197523
  NPD (past)

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

• Wakemed

  dba WakeMed Mental Health & Well-Being Hospital WakeBrook

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  Care Compare affiliation
• Wakemed

  dba WakeMed Raleigh Campus

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1972579837
  Care Compare affiliation

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1508532219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033614",
            "telephone_number": "919-235-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Willner, M.D.
• Willow Family Medical Center
• Willow Grace Counseling, PLLC
• Imari Wills
• Adam Kenneth Willson, M.D
• Kayla Nicole Wilmot
• Dawn Wilmoth, COTA
• Gregory J Wilmoth, M.D.
• Wilson S. Comer, Jr., M.D., P.a.
• Adrian Wilson

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.