Kathryn Louise Nickerson, PA-C
Kathryn Louise Nickerson, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2022, 4 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 4
- Licensed in
- NC
- In the registry since
- 2022
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
114 Charlois BlvdWinston Salem, NC 27103-1522
Phone: (336) 765-5470
Fax: (336) 499-5428
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 450 Brookline Ave, Boston, MA 02215-5450 — (617) 632-3000
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0010-15673 (NC) |
|---|
Record details
| NPI number | 1053031526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 2, 2022 |
| Last updated in NPPES | October 29, 2025 |
| Certification date | October 29, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Novant Health Medical Group, Llc — 2410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Practises at
- Brigham And Women Faulkner Hospital Hospital · Jamaica Plain, MA · listed as Brigham and Women's Faulkner Hospital, Inc
- Brigham And Women'S Hospital Hospital · Boston, MA
Colleagues at Novant Health Medical Group, LLC
- Dr. Oluseun Olukayode Alli, MD Cardiovascular Disease Physician · Charlotte, NC
- Dr. Craig Lincoln Anthony, MD Family Medicine Physician · Mooresville, NC
- Dr. Chelsea Leah Ferguson, DNP, FNP-C Family Nurse Practitioner · Leland, NC
- Dr. Prakash Harikrishnan Cardiovascular Disease Physician · Winston Salem, NC
- Mrs. Christy Fuller Harrison, FNP-C Family Nurse Practitioner · Salisbury, NC
- Mrs. J. Crystal Johnson, LPC Mental Health Counselor · Charlotte, NC
- Dr. Bruce S Mather, MD Family Medicine Physician · Mooresville, NC
- Douglas Wayne Miyazaki, MD Obstetrics & Gynecology Physician · Winston Salem, NC
- Isatta Ndure, PA Physician Assistant · Winston Salem, NC
- Dr. Nilesh V Patel, MD Internal Medicine Physician · Salisbury, NC
- Jennifer Louise Percival Nurse Practitioner · Shallotte, NC
- Shane Cruz Prebis, PA Medical Physician Assistant · Winston Salem, NC
Other providers in Winston Salem
-
Arianna Fahmieh Nassar, PA
111 Hanestown Ct Ste 351, Winston Salem, NC 27103-1749 · (336) 716-6476
-
Isatta Ndure, PA
652 E Monmouth St, Winston Salem, NC 27107-3227 · (336) 718-4380
-
Morgan K Neve, PA-C
1 Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-2011
-
Miss. Brigitte Shiem Nguyen, PA
Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-2011
-
Grace Nicklas-Morris, PA-C
1615 Polo Rd, Winston Salem, NC 27106-3831 · (336) 722-7266
-
Mrs. Dawn Marie Delo O'Reilly, PHD, PA-C
186 Kimel Park Dr, Winston Salem, NC 27103 · (336) 277-2000
-
Krystal Opara
150 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6992 · (336) 934-5556
-
Laura Montgomery Orsban, PA
200 Robinhood Medical Plz, Winston Salem, NC 27106-5471 · (336) 718-7950