Active NPI
Katy Howell, PAC
- Physician Assistant
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04923
- Practice address
- 3280 Henderson Dr Ste C1
Jacksonville, NC 28546-5289 - Phone
- (910) 548-2818
- NPI assigned
- Nov 26, 2012
- Last updated
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003654 | OH | |
| Physician Assistant | 363A00000X | 0010-04923 | NC | Primary |
Addresses
Primary practice location
3280 Henderson Dr Ste C1
Jacksonville, NC 28546-5289
Mailing address
3280 Henderson Dr Ste C1
Jacksonville, NC 28546-5289
Phone (910) 548-2818
Other practice location 1
395 W 12th Ave Ste 401
Columbus, OH 43210-1267
Phone (614) 293-3494
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141104002409 | NC | Practitioner - Physician Assistant | 7214182823 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-04923 | NC | MD | Physician Assistant |
| 003654 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Empire Health | Current | Accepting new patients | |
| Healthfirst Urgent Care PC | Current | Accepting new patients | |
| Healthfirst Primary Care PC | Current | Accepting new patients | |
| Queens Empire Health | Current | Accepting new patients | |
| Starmed Urgent & Family Care, P.a. | Physician Assistant | Past | Accepting new patients |
Locations
3280 Henderson Dr
Ste C1
Jacksonville, NC 28546
Phone (718) 704-7620
3011B Raleigh Road Pkwy W
Wilson, NC 27896
Phone (252) 293-1010
Organizations & group practices 5
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.
-
- General Practice Physician
- Wilson, NC
- NPI 1871057596
-
- Emergency Medicine Physician
- Wilson, NC
- NPI 1780148403
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1649899279
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1871103408
-
- Physician Assistant
- Charlotte, NC
- NPI 1790282853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1750625190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 HENDERSON DR STE C1",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465289",
"telephone_number": "910-548-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 HENDERSON DR STE C1",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465289",
"telephone_number": "910-548-2818"
}
],
"practiceLocations": [
{
"address_1": "395 W 12th Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101267",
"country_code": "US",
"telephone_number": "614-293-3494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWELL",
"first_name": "KATY",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2021-05-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "003654",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.