Catherine Lyn Gaines, PA
Individual provider Active NPI Surgical Physician Assistant · Lumberton, NC
NPI 1063458941 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1063458941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 0010-00752 (NC)
- Practice address
- 1200 Pine Run Dr
Lumberton, NC 28358-2180 - Phone
- (910) 671-5730
- Fax
- (910) 671-5538
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southeastern Regional Medical Center
Duke Health Integrated Practice Inc
Practice addresses (Care Compare)
1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone (910) 671-5730
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Southeastern Regional Medical Center
- Unc Hospitals
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070618000009 | NC | Practitioner - Physician Assistant | 3779682745 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010625-1 | NY | MD | Physical Therapist |
| 0010-00752 | NC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Regional Physician Services | Current |
Accepting new patients | |
| Southeastern Regional Medical Center | Current |
Accepting new patients | |
| Southeastern Regional Physician Services | Current |
Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients | |
| Southeastern Regional Medical Center | Current |
Accepting new patients | |
| Southeastern Regional Medical Center | Past | Accepting new patients | |
| Lumberton Emergency Medical Associates PC | Past |
Accepting new patients | |
| Southeastern Regional Medical Center | Past | Accepting new patients | |
| Southeastern Radiation Oncology | Past | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
1200 Pine Run Dr
Lumberton, NC 28358
Phone (910) 671-5048
1200 Pine Run Dr
#1408
Lumberton, NC 28358
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290
395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434
202 W 27th St
Lumberton, NC 28358
Phone (910) 671-1460
2934 N Elm St
Ste E
Lumberton, NC 28358
Phone (910) 739-0022
2934 N Elm St
Ste B
Lumberton, NC 28358
Phone (910) 272-1175
Interoperability endpoints
- cgaines504422@direct.medicine.duke.edu
- cgaines599383@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 010625-1 | NY | |
| Surgical Physician Assistant | 363AS0400X | 0010-00752 | NC | Yes |
Addresses
Primary practice location
1200 Pine Run Dr
Lumberton, NC 28358-2180
Mailing address
2600 N Elm St
Lumberton, NC 28358-3011
Phone (910) 671-5195
NPI Registry JSON
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1063458941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N ELM ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583011",
"telephone_number": "910-671-5195",
"fax_number": "910-671-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PINE RUN DR",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582180",
"telephone_number": "910-671-5730",
"fax_number": "910-671-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "CATHERINE",
"middle_name": "LYN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "010625-1",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "0010-00752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
- Kwame Terrella Freeman
- Ashley T. Froehlich
- Full Potential, LLC
- Carl Fuller II
- Beth Waiyego Gachuki
- Alisa Lynn Galeana
- Gabrielle Gallagher
- Madeline Louise Galloway
- Gane & Karshner DDS PA
- Lacey Earl Gane II
All providers in Lumberton, NC · Surgical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.