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

Kristie Anderson Ennis, PHYSICIANSASSISTANT

Individual provider Physician Assistant · NPI 1568626653

Kristie Anderson Ennis, PHYSICIANSASSISTANT is a Physician Assistant in Hickory, North Carolina. Qualified in 2008, 18 years ago. Practices with Catawba Valley Medical Group Inc, a 134-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
18
Licensed in
NC
In the registry since
2008

Practice location Address checks out

415 N Center St Ste 300
Hickory, NC 28601-5036
Phone: (828) 328-3300
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01439 (NC)

Record details

NPI number1568626653
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANSASSISTANT
Sole proprietorNo
NPI enumeratedJuly 17, 2008
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Catawba Valley Medical Group Inc — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hickory