Individual provider Active NPI

Katie Lynn Starling, PA-C

  • Physician Assistant
  • Mount Airy, NC
National Provider Identifier
1982659587
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001006485 Issued in NC
Practice address
510 S South St
Mount Airy, NC 27030
Phone
(336) 786-4522
Fax
(336) 786-3752
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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 001006485 NC Primary

Addresses

Primary practice location

510 S South St
Mount Airy, NC 27030

Mailing address

PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 786-4522

Other identifiers 1

IdentifierTypeStateIssuer
363A00000XOtherNCTAXONOMY

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
I20160823001406 NC Practitioner - Physician Assistant 2365344397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Hospital of Surry CountyGroup PAC ID 0244281749, 41 clinicians

Practice addresses (Care Compare)

510 S S St
Mount Airy, NC 27030-4422
Phone (336) 786-4522

Hospital & facility affiliations

  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County CurrentSince Oct 1, 2017 Accepting new patients
Northern Hospital of Surry County CurrentSince Oct 1, 2017 Accepting new patients
Northern Hospital of Surry County Past Accepting new patients
Primecare Physicians of West Central Ohio, Inc Past Accepting new patients

Locations

708 S South St
#300
Mount Airy, NC 27030
Phone (336) 783-8030

708 S South St
Mount Airy, NC 27030
Phone (336) 719-0011

423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144

510 S South St
Mount Airy, NC 27030
Phone (336) 786-4522

Interoperability endpoints

  • Direct secure messaging: kstarling@direct.nrh.nchie.net
  • Direct secure messaging: khaspeslagh@nmgobgyn.gwaydirect.com

Organizations & group practices 5

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.

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1982659587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-786-4522",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-4522",
            "fax_number": "336-786-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARLING",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001006485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363A00000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.