Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Bailey Jeutter, PA-C, ATC

Individual provider Athletic Trainer · NPI 1194192864

Kathryn Bailey Jeutter, PA-C, ATC is a Physician Assistant in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Practices with Raleigh Orthopaedic Clinic PA, a 128-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3001 Edwards Mill Rd
Raleigh, NC 27612-5243
Phone: (919) 781-5600
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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 0010-13281 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence 2000031661

Record details

NPI number1194192864
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorYes
NPI enumeratedAugust 28, 2015
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Raleigh Orthopaedic Clinic Pa — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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