Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Katherine Nicole Goley, PA-C

Individual provider Physician Assistant · NPI 1972257715

Mrs. Katherine Nicole Goley, PA-C is a Physician Assistant in Centerville, Ohio. Qualified in 2021, 5 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
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

2350 Miami Valley Dr Ste 400
Centerville, OH 45459-4780
Phone: (937) 228-1731
Fax: (937) 228-7827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3170 Kettering Blvd Bldg B, Moraine, OH 45439-1924 — (937) 991-3188

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972257715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Centerville