Individual provider Active NPI

Kayla J McKenzie, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1962754440
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1915 Lendew St
Greensboro, NC 27408-7033
Phone
(336) 275-3325
Fax
(336) 275-5346
NPI assigned
Oct 9, 2012
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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 Primary

Addresses

Primary practice location

1915 Lendew St
Greensboro, NC 27408-7033

Mailing address

102 Bellwood CT
Jamestown, NC 27282-9446
Phone (717) 329-0363

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131230000032 NC Practitioner - Physician Assistant 8921235656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1130 N Church St
Suite 100
Greensboro, NC 27401-1041
Phone (336) 375-2300

1915 Lendew St
Greensboro, NC 27408-7033
Phone (336) 275-3325

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physician Assistant CurrentSince Oct 4, 2025 Accepting new patients
Southeastern Orthopaedic Specialists, PA Physician Assistant CurrentSince Oct 3, 2013 Accepting new patients
Southeastern Orthopaedic Specialists, PA CurrentSince Oct 3, 2013 Accepting new patients
Emergeortho PA CurrentSince Oct 4, 2025 Accepting new patients

Locations

1130 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 375-2300

1915 Lendew St
Greensboro, NC 27408
Phone (336) 275-3325

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • Direct secure messaging: kayla.mckenzie.1@847.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1962754440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BELLWOOD CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829446",
            "telephone_number": "717-329-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087033",
            "telephone_number": "336-275-3325",
            "fax_number": "336-275-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KAYLA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.