Katelyn Rose Moffo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13501 Issued in NC

Practice address

2105 Braxton LN Ste 101
Greensboro, NC 27408-2862

Phone

(336) 333-6306

Fax

(336) 333-6309

NPI assigned

Sep 7, 2023

Last updated

Apr 30, 2026By 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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novant Health Piedmont North Carolina Medical Group LLCGroup PAC ID 1850813163, 13 clinicians

Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• High Point Regional Health System Hospital, High Point, NC, CCN 340004
• Randolph Hospital Hospital, Asheboro, NC, CCN 340123

Merit-based Incentive Payment System (MIPS)

Final score

87.4 of 100Reported as group

Quality

87.24

Improvement activities

40

Cost

75.01

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katelyn.moffo.p1@direct.sss.nextgenshare.com
• Direct secure messaging: kmoffo1681524@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.

• Novant Health Piedmont North Carolina Medical Group, LLC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1629887351
  Medicare reassignment Care Compare group NPD (past)
• Greensboro Spine and Scoliosis Center PLLC

  dba Spine and Scoliosis Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Greensboro, NC
  • NPI 1255466355
  Medicare reassignment
• O&W Enterprises

  • Physical Therapist
  • Stanleytown, VA
  • NPI 1487895348
  Care Compare group
• Novant Health Piedmont North Carolina Medical Group, LLC

  dba Spine & Scoliosis Specialists Novant Health

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1376343996
  NPD

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

• American Healthcare Systems, LLC

  • General Acute Care Hospital
  • Asheboro, NC
  • NPI 1942895081
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• High Point Regional Health

  dba High Point Regional

  • General Acute Care Hospital
  • High Point, NC
  • NPI 1396746228
  Care Compare affiliation

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1851177505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604345",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LN STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082862",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFO",
        "first_name": "KATELYN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modlin & Londry Xviii DDS PLLC (Greensboro Perio)
• Vaishali Mody, M.D.
• Barbara A Moehring, CRNA
• Per Kristian Moerk, PHYSICAL THERAPIST
• Sean Moffitt
• Mohamed Kamel Mohamed, M.D.
• Omar Hassan Mohamed
• Suleiman Haji Mohamed
• Mohammad Lawal Garba, MD, PA (Ladan Medical Center)
• Montaser Ahmed Mohammed Dafalla, RPH

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.