Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Elizabeth Dyer, MMS, MS, PA-C

Individual provider Physician Assistant · NPI 1417363623

Katherine Elizabeth Dyer, MMS, MS, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Prep II LLC, a 47-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 E Wt Harris Blvd Ste 5500A
Charlotte, NC 28262-3485
Phone: (704) 863-1520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0010-10585 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-10585 (NC)

Record details

NPI number1417363623
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , MS , PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Prep Ii Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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