Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kellie Deanne Tatro, PA-C, RRA, RTR

Individual provider Radiology Practitioner Assistant · NPI 1366905705

Kellie Deanne Tatro, PA-C, RRA, RTR is a Physician Assistant in Nags Head, North Carolina. Qualified in 2020, 6 years ago. Practices with Emergency Medicine Physicians of Mecklenburg County PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
6
Licensed in
MD, NC
In the registry since
2019
Specialties on file
3
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

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone: (252) 449-5600
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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 301411 (NC)
Radiology Practitioner Assistant Taxonomy 243U00000X · Licence 349813
Physician Assistant Taxonomy 363A00000X · Licence C0010339 (MD)

Record details

NPI number1366905705
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RRA , RTR
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Emergency Medicine Physicians Of Mecklenburg County Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients289
Services billed 404 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Emergency Medicine Physicians of Mecklenburg County PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 8 clinicians in the practice; 4 are shown here.