Katherine Laura Tison

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

2021-01418 Issued in NC

Practice address

1017 Ashes Dr Ste 206
Wilmington, NC 28405-8308

Phone

(910) 239-9584

Fax

(910) 679-4086

NPI assigned

Apr 13, 2015

Last updated

Oct 30, 2023By 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

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Medical College of Georgia School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ktison1252519@direct.novanthealth.org

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.

• Allergy Partners, PLLC

  dba Allergy Partners of Western North Carolina

  • Allergy & Immunology Physician
  • Asheville, NC
  • NPI 1205826559
  Medicare reassignment Care Compare group NPD
• Allergy Partners, PLLC

  dba Allergy Partners of Coastal Carolina

  • Allergy & Immunology Physician
  • Wilmington, NC
  • NPI 1831189992
  NPD
• Allergy Partners, PLLC

  dba Allergy Partners of Fayetteville

  • Allergy & Immunology Physician
  • Fayetteville, NC
  • NPI 1073503470
  NPD (past)
• University Pediatric Associates, Inc.

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1457396541
  NPD (past)

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

• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1740676022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 ASHES DR STE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058308",
            "telephone_number": "910-239-9584",
            "fax_number": "910-679-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISON",
        "first_name": "KATHERINE",
        "middle_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2021-01418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740676022",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NNG327A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tinsley Surgical, PA
• Ellis A Tinsley Jr., MD
• David Glen Tipton, M.D.
• Tirzah Wellness Center, PLLC
• Chad Everett Tisdale, O.D.
• Sandra Ann Titka
• Kandie Tito
• Mikayla Ashlyn Tittsworth, LCMHCA
• TLC Operations, Inc
• TMC Professional Counseling Service (Sea Glass Counseling Collaborative)

• Allergy & Immunology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Allergy & Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.