Anna Jo Koch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13082 Issued in NC

Practice address

803 Tilghman Dr Ste 100
Dunn, NC 28334-6699

Phone

(910) 892-1091

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

Yes

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Home Care Home health agency, Dunn, NC, CCN 347306
• Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akoch93770@capefearvalley.direct-ci.com

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.

• Cape Fear Valley Health Medical Group LLC

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655

  Multi-Specialty

  Medicare reassignment Care Compare group NPD (past)
• Dunn Medical Services LLC

  • Internal Medicine Physician
  • Dunn, NC
  • NPI 1184921843
  Medicare reassignment
• Cape Fear Valley Health Medical Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Dunn, NC
  • NPI 1326832288
  NPD
• Cape Fear Valley Health Medical Group LLC

  • Orthopaedic Surgery of the Spine Physician
  • Fayetteville, NC
  • NPI 1568315554
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Harnett Health System, Inc.

  • General Acute Care Hospital
  • Dunn, NC
  • NPI 1922144757
  Care Compare affiliation
• Liberty Healthcare Group, LLC

  • Home Health Agency
  • Dunn, NC
  • NPI 1366498834
  Care Compare affiliation

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1730889577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CLAYTON RD",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275018354",
            "telephone_number": "919-279-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 TILGHMAN DR STE 100",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283346699",
            "telephone_number": "910-892-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ANNA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidzcare Pediatrics, PC
• Sarah Kilmer, MSN, CPNP
• Barbara King
• Michael Allen Knott, MPAC
• Michael Waldemar Knudsen, M.D.
• Debra Kosko, NP
• Rostan Kouokam Sipowa
• Madelaine Kramer
• Marissa Christine Krugh, DO
• Brian Lackey, NP

• Physician Assistant in Dunn, NC
• Providers in Dunn, 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 Jul 1, 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.