Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KETOYIA C NEWKIRK PA-C
NPI 1588790109
Physician Assistant in Wallace, NC

Active since February 26, 2007PECOS Enrolled
110 EASTWOOD DR, WALLACE, NC 28466(910) 285-2330 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Aug 11, 2025, Jan 7, 2025 and 2 more (5 updates tracked since 2021).

About Ketoyia C Newkirk Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETOYIA C NEWKIRK PA-C (NPI 1588790109) is an individual physician assistant in Wallace, North Carolina, licensed in North Carolina (103910) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1588790109
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKETOYIA C NEWKIRKCredential: PA-C
Location Address110 EASTWOOD DRWallace, NC 28466-9201
Mailing AddressPo Box 187Faison, NC 28341-0187 · (855) 996-9090
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1588790109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103910
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

110 EASTWOOD DR, Wallace, NC 28466

Secondary Practice Location 1

Location 1160 Mine Lake Ct Ste 200Raleigh, NC 27615-6417 · Phone (877) 868-5351

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ketoyia C Newkirk Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
110 EASTWOOD DR
WALLACE, NC 28466
Nurse Practitioner (Family)
110 EASTWOOD DR
WALLACE, NC 28466
Nurse Practitioner (Family)
110 EASTWOOD DR
WALLACE, NC 28466
Nurse Practitioner (Family)
110 EASTWOOD DR
WALLACE, NC 28466
Nurse Practitioner (Adult Health)
110 EASTWOOD DR
WALLACE, NC 28466
Nurse Practitioner (Family)
110 EASTWOOD DR
WALLACE, NC 28466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketoyia Newkirk's NPI number?

The NPI number for Ketoyia Newkirk is 1588790109. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Ketoyia Newkirk located?

Ketoyia Newkirk practices at 110 Eastwood Dr, Wallace, NC 28466. The listed phone number is (910) 285-2330.

What is Ketoyia Newkirk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ketoyia Newkirk enrolled in Medicare?

Yes. Ketoyia Newkirk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ketoyia Newkirk was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.