Individual provider Active NPI

Elizabeth Morgan Kaczor, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1730179938
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103112 Issued in NC
Practice address
4904 Professional CT
Raleigh, NC 27609-4969
Phone
(919) 893-4465
Fax
(800) 860-8126
NPI assigned
Oct 27, 2005
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103112 NC Primary
Medical Physician Assistant 363AM0700X 103112 NC
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X 103112 NC

Addresses

Primary practice location

4904 Professional CT
Raleigh, NC 27609-4969

Mailing address

3225 Donlin Dr
Wake Forest, NC 27587-5481
Phone (919) 889-2557

Other names 1

  • Elizabeth Ann Morgan 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
I20090513000178 NC Practitioner - Physician Assistant 2769531227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advaita Integrated Medicine PLLCGroup PAC ID 4385023043, 17 clinicians

Practice addresses (Care Compare)

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone (919) 893-4465

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103112NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of NC, PA PastSince May 1, 2022 Accepting new patients
Green Hill Recovery, LLC Past Accepting new patients
Advaita Health Ventures LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: advaitacollective.elizabethmorgan@156171.advancedmd-direct.com

Organizations & group practices 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1730179938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 DONLIN DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875481",
            "telephone_number": "919-889-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 PROFESSIONAL CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094969",
            "telephone_number": "919-893-4465",
            "fax_number": "800-860-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOR",
        "first_name": "ELIZABETH",
        "middle_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103112",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103112",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "NC",
            "license": "103112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MORGAN",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.