Active NPI
Katherine Tayloe Macdonald, M.D.
- Pediatric Adolescent Medicine Physician
- Goldsboro, NC
National Provider Identifier
1942260294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 200600187
- Practice address
- 2706 Medical Office PL
Goldsboro, NC 27534-9460 - Phone
- (919) 734-4736
- Fax
- (919) 580-1018
- NPI assigned
- Mar 23, 2006
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 200600187 | NC | Primary |
Addresses
Primary practice location
2706 Medical Office PL
Goldsboro, NC 27534-9460
Mailing address
2706 Medical Office PL
Goldsboro, NC 27534-9460
Phone (919) 734-4736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200600187 | Other | NC | NORTH CAROLINA MEDICAL LI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmacdonald@goldsboropediatrics.opdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200600187 | NC | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro Pediatrics PA | Past | Accepting new patients | |
| Goldsboro Pediatrics PA | Past | Accepting new patients | |
| Goldsboro Pediatrics PA | Past | Accepting new patients | |
| Goldsboro Pediatrics PA | Past | Accepting new patients |
Interoperability endpoints
- kmacdonald@goldsboropeds.medentdirect.com
- kmacdonald222140@direct.unc.nchie.net
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Goldsboro, NC
- NPI 1427125269
-
- Rural Health Clinic/Center
- Princeton, NC
- NPI 1437927662
-
- Rural Health Clinic/Center
- La Grange, NC
- NPI 1497523625
-
- Rural Health Clinic/Center
- Mount Olive, NC
- NPI 1659149896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1942260294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349460",
"telephone_number": "919-734-4736",
"fax_number": "919-580-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349460",
"telephone_number": "919-734-4736",
"fax_number": "919-580-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "KATHERINE",
"middle_name": "TAYLOE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2023-03-07",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NC",
"license": "200600187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAL LI",
"identifier": "200600187",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmacdonald@goldsboropediatrics.opdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2706 Medical Office Pl",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275349460",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.