Individual provider Active NPI

Laura Caitlin Gerrald, P.A.

  • Physician Assistant
  • Lenoir, NC
National Provider Identifier
1063781144
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11611 Issued in NC
Practice address
1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645
Phone
(828) 991-4660
Fax
(828) 991-4659
NPI assigned
Dec 20, 2011
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11611 NC Primary

Addresses

Primary practice location

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645

Mailing address

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461
Phone (828) 991-4660

Other practice location 1

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone (828) 652-8727

Other practice location 2

730 Malcolm Blvd Ste 150
Connelly Springs, NC 28612-8079
Phone (828) 991-4660

Other practice location 3

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

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
I20211008001476 NC Practitioner - Physician Assistant 7719141977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1208 Hickory Blvd SW
Suite 102
Lenoir, NC 28645-6461
Phone (828) 991-4660

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Dec 22, 2024 Accepting new patients
Women's Health Group Past Accepting new patients

Locations

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010533
  • Direct secure messaging: lgerrald790147@direct.unc.nchie.net

Organizations & group practices 5

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 5

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1063781144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286456461",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2293 Sugar Hill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527787",
            "country_code": "US",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Malcolm Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286128079",
            "country_code": "US",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 W Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554450",
            "country_code": "US",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERRALD",
        "first_name": "LAURA",
        "middle_name": "CAITLIN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.