Individual provider Active NPI

Noelle Gaither, NP

  • Nurse Practitioner
  • Asheboro, NC
National Provider Identifier
1073399366
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019491 Issued in NC
Practice address
136 S Park St
Asheboro, NC 27203-5651
Phone
(336) 626-6371
Fax
(336) 629-0436
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 378845 NC
Family Nurse Practitioner 363LF0000X 5019491 NC
Nurse Practitioner 363L00000X 5019491 NC Primary

Addresses

Primary practice location

136 S Park St
Asheboro, NC 27203-5651

Mailing address

136 S Park St
Asheboro, NC 27203-5651
Phone (336) 626-6371

Other practice location 1

3808 W Gate City Blvd Ste A1
Greensboro, NC 27407-4661
Phone (336) 915-9247

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
I20240228000901 NC Practitioner - Nurse Practitioner 0840635082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

136 S Park St
Asheboro, NC 27203-5651
Phone (336) 626-6371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
378845NCMDRegistered Nurse
5019491NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Family CurrentSince Mar 18, 2024 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Mar 18, 2024 Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

3808 W Gate City Blvd
Ste A1
Greensboro, NC 27407
Phone (336) 518-7008

3416 Poole Rd
Ste 120
Raleigh, NC 27610
Phone (919) 902-7366

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1073399366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S PARK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035651",
            "telephone_number": "336-626-6371",
            "fax_number": "336-629-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S PARK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035651",
            "telephone_number": "336-626-6371",
            "fax_number": "336-629-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3808 W Gate City Blvd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274074661",
            "country_code": "US",
            "telephone_number": "336-915-9247",
            "fax_number": "336-450-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITHER",
        "first_name": "NOELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "378845",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019491",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.