Individual provider Active NPI

Kathryn Mae McGowan, MSPAS, PA-C

  • Physician Assistant
  • Black Mountain, NC
National Provider Identifier
1821611732
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10663 Issued in NC
Practice address
201 NC Highway 9
Black Mountain, NC 28711-3426
Phone
(828) 419-1035
Fax
(828) 419-1036
NPI assigned
May 26, 2020
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4255 TN
Physician Assistant 363A00000X 0110007447 VA
Physician Assistant 363A00000X 0010-10663 NC Primary

Addresses

Primary practice location

201 NC Highway 9
Black Mountain, NC 28711-3426

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

4075 Copper Ridge Dr
Traverse City, MI 49684-7059
Phone (337) 609-5144

Other practice location 2

1409 Reserve Pl
Johnson City, TN 37615-4587
Phone (850) 445-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201124002385 VA Practitioner - Physician Assistant 3678984515 Reassigns benefits to 1 organization
I20201215002854 TN Practitioner - Physician Assistant 3678984515 Reassigns benefits to 1 organization
I20211202000657 NC Practitioner - Physician Assistant 3678984515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Mercy Urgent Care IncGroup PAC ID 5496709305, 46 clinicians
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

120 Frazier St
Suite 6
Waynesville, NC 28786-2806
Phone (828) 210-8333

1201 Patton Ave
Asheville, NC 28806-2707
Phone (828) 252-4878

1272 Tunnel Rd
Suite 10
Asheville, NC 28805-2100
Phone (828) 210-8325

140 W Mills St
Suite a
Columbus, NC 28722-9422
Phone (828) 802-1011

1833 Hendersonville Rd
Suite 140
Asheville, NC 28803-3515
Phone (828) 274-1462

201 NC Hwy 9
Black Mountain, NC 28711-3426
Phone (828) 419-1035

61 Weaver Blvd
Suite 105
Weaverville, NC 28787-9804
Phone (828) 645-5088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4255TNMDProfessional Counselor
0110007447VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Feb 3, 2025 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Nov 1, 2021 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Nov 1, 2021 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Feb 3, 2025 Accepting new patients
Carolina Medicorp Enterprises Inc Physician Assistant Past Accepting new patients

Locations

1201 Patton Ave
Asheville, NC 28806
Phone (828) 252-4878

1272 Tunnel Rd
Ste 10
Asheville, NC 28805
Phone (828) 210-8325

1833 Hendersonville Rd
Ste 140
Asheville, NC 28803
Phone (828) 274-1462

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

22 Trust Ln
Ste 101
Brevard, NC 28712
Phone (828) 883-2600

41 Charlie Brown Rd
Ste 8
Burnsville, NC 28714
Phone (828) 536-5575

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

140 W Mills St
#A
Columbus, NC 28722
Phone (828) 802-1011

120 Frazier St
Ste 6
Waynesville, NC 28786
Phone (828) 210-8333

61 Weaver Blvd
Ste 105
Weaverville, NC 28787
Phone (828) 645-5088

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: kathryn.mcgowan.1@29997.direct.athenahealth.com
  • Direct secure messaging: kmcgowan1657715@direct.novanthealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1821611732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NC HIGHWAY 9",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113426",
            "telephone_number": "828-419-1035",
            "fax_number": "828-419-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4075 Copper Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847059",
            "country_code": "US",
            "telephone_number": "337-609-5144",
            "fax_number": "337-573-6224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 Reserve Pl",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376154587",
            "country_code": "US",
            "telephone_number": "850-445-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "KATHRYN",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4255",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007447",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.