Mary Katrina Padgett, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102873 Issued in NC

Practice address

11491 US Highway 70 W
Clayton, NC 27520-2207

Phone

(919) 550-2484

Fax

(919) 550-7059

NPI assigned

Jul 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Clayton Urgent Care and Family Clinic PA

  • General Practice Physician
  • Clayton, NC
  • NPI 1104912096
  NPD (past)
• Fastmed Urgent Care PC

  • Urgent Care Clinic/Center
  • Raleigh, NC
  • NPI 1225331903
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801814124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11491 US HIGHWAY 70 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202207",
            "telephone_number": "919-550-2484",
            "fax_number": "919-550-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11491 US HIGHWAY 70 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202207",
            "telephone_number": "919-550-2484",
            "fax_number": "919-550-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "MARY",
        "middle_name": "KATRINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ortman, MPH, RD, LD
• Jessica Christine Kuhn Owens, NP
• Michael Ray Owens, M.D.
• Gretchen N Paavola
• Caitlyn Jenkins Pabon, MS, NCC, LCMHC
• Emily Painter
• Melissa J Palmer, M.A., CCC-A
• Jimmy Nicolas Pan, DO
• Pandora Family Care Home LLC
• Pandora Famiyl Care Home LLC

• Medical Physician Assistant in Clayton, NC
• Providers in Clayton, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.