MS. KACIE MILLER TEETER PA-C NPI 1063567626

NPI Information

  • NPI: 1063567626
  • Provider Name: MS. KACIE MILLER TEETER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 310 DAVIE AVE
    STATESVILLE FAMILY PRACTICE
    STATESVILLE, NC
    ZIP 28677
  • Phone: (704) 873-3269

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NPI Details

MS. Kacie Miller Teeter, PA-C is a medical physician assistant in Statesville, NC with 19 years of experience. MS. Kacie Miller Teeter, PA-C NPI is 1063567626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

310 DAVIE AVE
STATESVILLE FAMILY PRACTICE
STATESVILLE, NC
ZIP 28677-319
Phone: (704) 873-3269
Fax: (704) 871-8159

The NPI 1063567626 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Urinalysis, manual test (HCPCS:81002)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 1/24/2007 and was last updated on 3/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical001000789NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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