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

Individual provider Physician Assistant · NPI 1083249437

Kathryn Elizabeth Brockway, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
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

8201 Healthcare Loop Ste 302
Charlotte, NC 28215-7072
Phone: (704) 316-2319
Fax: (704) 316-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4136 Clemmons Rd, Clemmons, NC 27012-7520 — (336) 893-3270
  • 5325 Vinning St Nw Ste 101, Concord, NC 28027-2956 — (704) 316-1040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09634 (NC)

Record details

NPI number1083249437
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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