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

MS. Kacie Miller Teeter, PA-C

Individual provider Medical Physician Assistant · NPI 1063567626

MS. Kacie Miller Teeter, PA-C is a Physician Assistant in Statesville, North Carolina. Qualified in 2006, 20 years ago. Practices with Iredell Physician Network LLC, a 89-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2007
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

310 Davie Ave Statesville Family Practice
Statesville, NC 28677-5319
Phone: (704) 873-3269
Fax: (704) 871-8159
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001000789 (NC)

Record details

NPI number1063567626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Iredell Physician Network Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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