Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kathy Raisbeck Crump, PA-C

Individual provider Physician Assistant · NPI 1982687745

MS. Kathy Raisbeck Crump, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 1990, 36 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
36
Licensed in
NC
In the registry since
2005
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

2001 Vail Ave Ste A
Charlotte, NC 28207-1219
Phone: (704) 323-2000
Fax: (704) 323-3807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101327 (NC)

Record details

NPI number1982687745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESJune 4, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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