Individual provider Active NPI

Cathryn McCollom Wlodyka, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1669102893
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12926 Issued in NC
Practice address
10620 Park Rd Ste 102
Charlotte, NC 28210-0106
Phone
(704) 221-4535
NPI assigned
Jun 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 0010-12926 NC Primary

Addresses

Primary practice location

10620 Park Rd Ste 102
Charlotte, NC 28210-0106

Mailing address

3426 Toringdon Way Ste 108
Charlotte, NC 28277-3497
Phone (704) 372-7974

Other practice location 1

300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180
Phone (704) 372-7974

Other names 1

  • Cathryn McCollom 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
I20230123000743 NC Practitioner - Physician Assistant 3971974353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1105 Spruce St
Suite 101
Belmont, NC 28012-4228
Phone (704) 820-9430

300 Billingsley Rd
Suite 200
Charlotte, NC 28211-1180
Phone (704) 372-7974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-12926NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Digestive Health Associates, PA Single Specialty CurrentSince Jan 30, 2023 Accepting new patients

Locations

11301 Carmel Commons Blvd
Ste 302
Charlotte, NC 28226

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

10620 Park Rd
Ste 102
Charlotte, NC 28210
Phone (305) 866-9951

3426 Toringdon Way
Ste 108
Charlotte, NC 28277

1450 Matthews Township Pkwy
Ste 460
Matthews, NC 28105
Phone (704) 814-1799

Interoperability endpoints

  • Direct secure messaging: cmccollom898277@direct.novanthealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1669102893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 TORINGDON WAY STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773497",
            "telephone_number": "704-372-7974",
            "fax_number": "704-970-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 PARK RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100106",
            "telephone_number": "704-221-4535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Billingsley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111180",
            "country_code": "US",
            "telephone_number": "704-372-7974",
            "fax_number": "704-372-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WLODYKA",
        "first_name": "CATHRYN",
        "middle_name": "MCCOLLOM",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHRYN",
            "last_name": "MCCOLLOM",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.