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

Katherine M Starace, PA-C

Individual provider Physician Assistant · NPI 1205067428

Katherine M Starace, PA-C is a Physician Assistant in Charlotte, North Carolina. Graduated from Eastern Virginia Medical School in 2008, 18 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
18
Trained at
Eastern Virginia Medical School
Licensed in
NC, SC
In the registry since
2009
Specialties on file
2
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

9915 Park Cedar Dr
Charlotte, NC 28210-8905
Phone: (866) 389-2727
Fax: (401) 652-9787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04092 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 1324 (SC)

Record details

NPI number1205067428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2009
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2008 (18 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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