NPIMap

Individual provider Active NPI

Katie Elizabeth Wilkerson, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1801511175
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12703 Issued in NC
Practice address
6324 Fairview Rd Ste 201
Charlotte, NC 28210-4278
Phone
(704) 384-0588
Fax
(704) 384-0580
NPI assigned
Oct 10, 2022
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12703 NC Primary

Addresses

Primary practice location

6324 Fairview Rd Ste 201
Charlotte, NC 28210-4278

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone (828) 652-8727

Other practice location 2

5920 US Highway 70 E
Nebo, NC 28761-9565
Phone (828) 659-9703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221227000305 NC Practitioner - Physician Assistant 4981074457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

2293 Sugar Hill Rd
Marion, NC 28752-7787

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-12703NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Dec 26, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 26, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Dec 22, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Women's Health Group Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6324 Fairview Rd
Ste 201
Charlotte, NC 28210
Phone (704) 384-0588

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010533

Organizations & group practices 9

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.

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1801511175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104278",
            "telephone_number": "704-384-0588",
            "fax_number": "704-384-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2293 Sugar Hill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527787",
            "country_code": "US",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5920 US Highway 70 E",
            "address_purpose": "LOCATION",
            "city": "Nebo",
            "state": "NC",
            "postal_code": "287619565",
            "country_code": "US",
            "telephone_number": "828-659-9703",
            "fax_number": "828-659-9357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.