Individual provider Active NPI

Katelyn Houmard Sanderson, PA-C

  • Physician Assistant
  • Whispering Pines, NC
National Provider Identifier
1598155673
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05543 Issued in NC
Practice address
7473 - C Hwy 22
Whispering Pines, NC 28327
Phone
(910) 215-5100
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 0010-05543 NC Primary

Addresses

Primary practice location

7473 - C Hwy 22
Whispering Pines, NC 28327

Mailing address

2380 W Arlington Blvd
Greenville, NC 27834-2846
Phone (252) 531-7562

Other practice location 1

2380 W Arlington Blvd
Greenville, NC 27834-2846
Phone (252) 531-7562

Other names 1

  • Katelyn Frances Houmard Former name

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
I20150323001413 NC Practitioner - Physician Assistant 3971820424 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

2325 Stantonsburg Rd
Greenville, NC 27834-7534
Phone (919) 731-4048

2380 W Arlington Blvd
Greenville, NC 27834-2846
Phone (252) 816-4001

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

517 Moye Blvd
Greenville, NC 27834-2849
Phone (252) 816-6000

521 Moye Blvd C
Greenville, NC 27834-2849
Phone (252) 744-1440

598 W Old County Rd
Belhaven, NC 27810-1232
Phone (252) 943-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-05543NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Apr 19, 2021 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
MCPC-8, LLC CurrentSince Apr 19, 2021 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 14, 2025 Accepting new patients
MCPC-8, LLC Past Accepting new patients

Locations

225 Capital Dr
Ste 101
Carthage, NC 28327
Phone (910) 215-5100

2380 W Arlington Blvd
Greenville, NC 27834
Phone (252) 744-0100

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: ksanderson104471@firsthealth.direct-ci.net
  • Direct secure messaging: khoumard210749@direct.unc.nchie.net

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1598155673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342846",
            "telephone_number": "252-531-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7473 - C HWY 22",
            "city": "WHISPERING PINES",
            "state": "NC",
            "postal_code": "28327",
            "telephone_number": "910-215-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 W Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342846",
            "country_code": "US",
            "telephone_number": "252-531-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "KATELYN",
        "middle_name": "HOUMARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "HOUMARD",
            "middle_name": "FRANCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whispering Pines, NC

Sources for this page

Verify at the official NPI Registry.