Individual provider Active NPI

Catherine Lyn Gaines, PA

  • Surgical Physician Assistant
  • Lumberton, NC
National Provider Identifier
1063458941
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0010-00752 Issued in NC
Practice address
1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone
(910) 671-5730
Fax
(910) 671-5538
NPI assigned
Jun 21, 2006
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 010625-1 NY
Surgical Physician Assistant 363AS0400X 0010-00752 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000009 NC Practitioner - Physician Assistant 3779682745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010625-1NYMDPhysical Therapist
0010-00752NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Jul 1, 2014 Accepting new patients
Southeastern Regional Medical Center CurrentSince Dec 16, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jul 1, 2014 Accepting new patients
Southeastern Regional Medical Center CurrentSince Dec 16, 2025 Accepting new patients
Lumberton Emergency Medical Associates PC PastSince Oct 1, 2023 Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Southeastern Radiation Oncology Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients

Locations

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

1200 Pine Run Dr
Lumberton, NC 28358
Phone (910) 671-5048

1200 Pine Run Dr
#1408
Lumberton, NC 28358

202 W 27th St
Lumberton, NC 28358
Phone (910) 671-1460

2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290

2934 N Elm St
Ste B
Lumberton, NC 28358
Phone (910) 272-1175

2934 N Elm St
Ste E
Lumberton, NC 28358
Phone (910) 739-0022

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

Interoperability endpoints

  • Direct secure messaging: cgaines504422@direct.medicine.duke.edu
  • Direct secure messaging: cgaines599383@direct.unc.nchie.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.