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

Kristen Leeann Canady, PA-C

Individual provider Surgical Physician Assistant · NPI 1336780147

Kristen Leeann Canady, PA-C is a Physician Assistant in Supply, North Carolina. Qualified in 2019, 7 years ago. Practices with Blue Ridge Regional Hospital, Inc, a 24-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

610 Ocean Hwy W
Supply, NC 28462-4048
Phone: (910) 356-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-09492 (NC)

Record details

NPI number1336780147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 2, 2019
Last updated in NPPESMay 5, 2025
Certification dateMay 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 Blue Ridge Regional Hospital, Inc. — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Supply