Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Lynn Pate, PA-C

Individual provider Surgical Physician Assistant · NPI 1275161358

Katherine Lynn Pate, PA-C is a Physician Assistant in Daytona Beach, Florida. Qualified in 2021, 5 years ago. Practices with North Brevard Medical Support Inc, a 62-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
5
Licensed in
FL, SC
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

305 Memorial Medical Pkwy Ste 301
Daytona Beach, FL 32117-5157
Phone: (386) 231-4450
Fax: (386) 231-4459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5005 Port St John Pkwy Ste 2200, Port St John, FL 32927-4305 — (321) 433-2247

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9118332 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4461 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275161358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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 North Brevard Medical Support Inc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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