Gateway Community Health Centers, Inc.
A Medicare group practice based in Gatesville, NC: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9234356015), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9234356015
- Provider type
- DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC
- Enrollments
- 6
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 9
Enrollment records 6
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140828002335 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1487936514 |
| O20140828002184 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1679853642 |
| O20140819001649 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1437431541 |
| O20140828001810 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1518247576 |
| O20160120001420 | NC | Part B Supplier - Clinic/Group Practice | 1487936514 |
| O20180917000198 | NC | DME Supplier - Pharmacy | 1598202871 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Gateway Community Health Centers, Inc
dba Gateway Community Health Centers Pharmacy
- Clinic Pharmacy
- Tyner, NC
- NPI 1598202871
-
Gateway Community Health Centers, Inc.
dba Gateway CHC, Inc
- Federally Qualified Health Center (FQHC)
- Gatesville, NC
- NPI 1437431541
-
Gateway Community Health Centers, Inc.
dba Gateway Community Health
- Federally Qualified Health Center (FQHC)
- Elizabeth City, NC
- NPI 1487936514
-
Gateway Community Health Centers, Inc.
- Federally Qualified Health Center (FQHC)
- Gatesville, NC
- NPI 1518247576
-
Gateway Community Health Centers, Inc.
- Federally Qualified Health Center (FQHC)
- Tyner, NC
- NPI 1679853642
Practice locations
- Gatesville, NC4
- Tyner, NC3
- Elizabeth City, NC2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).
-
La Tasha Al-Jarboua, PA-C
- Child & Adolescent Psychiatry Physician
- St Petersburg, FL
- NPI 1588078000
-
Giselle Devonne Blair, M.D.
- Family Medicine Physician
- Greenville, NC
- NPI 1013276708
-
Sharon Elaine Bullard, FNP
- Family Nurse Practitioner
- Suffolk, VA
- NPI 1841301793
-
Anoop Dipak Sheth, M.D.
- Family Medicine Physician
- Raleigh, NC
- NPI 1407299340
-
Shelley Ann Smith, FNP
- Family Nurse Practitioner
- Gatesville, NC
- NPI 1588039036
-
Sheikh Ahmed Tejan-Sie, MD
- Internal Medicine Physician
- Burlington, NC
- NPI 1346237617
-
Kossi Kekle Tete, MD
- Hospitalist Physician
- Morehead City, NC
- NPI 1669054300
-
Ugonna Carol Ukwu, DNP
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1558135848
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.