Chrystal Dannette Gunn Gammon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012088 Issued in NC

Practice address

2961 Crouse LN
Burlington, NC 27215-8833

Phone

(366) 266-0518

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Revive Concierge & Wellness PLLC

  • Family Medicine Physician
  • Burlington, NC
  • NPI 1942904818
  Medicare reassignment NPD Authorized official
• Careconnectmd North Carolina P.C.

  • General Practice Physician
  • Durham, NC
  • NPI 1104507441
  Medicare reassignment NPD
• Horizon Internal Medicine PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1033353941
  Medicare reassignment NPD
• Positive Pathways LLC

  • Community/Behavioral Health Agency
  • Mayodan, NC
  • NPI 1629821681
  Medicare reassignment NPD
• Revive Beauty & Drip Lounge, PLLC

  • Infusion Therapy Clinic/Center
  • Burlington, NC
  • NPI 1174226146
  NPD Authorized official
• Lifesource of North Carolina

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1811286156
  NPD
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288
  NPD
• NC Elder Care PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1962948240
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1073165148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "SEDALIA",
            "state": "NC",
            "postal_code": "273420045",
            "telephone_number": "434-429-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158833",
            "telephone_number": "366-266-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "CHRYSTAL",
        "middle_name": "DANNETTE GUNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012088",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "5012088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Funk, CNM
• Mary Funke, M.D.
• Kimberly Fuquay-Pickens
• Thomas Christopher Gaines, MSPAC
• Aria Jame Galloway, OT
• Jose Garcia Loyola, DC
• Garden Assisted Living
• Shemia Garner
• Garners House of Grace
• Anne-Caroline M Garnier Norman, MD

• Family Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.