Individual provider Active NPI

Amber Lynn Gold, PA

  • Physician Assistant
  • High Point, NC
National Provider Identifier
1083205561
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11940 Issued in NC
Practice address
1301 Eastchester Dr Ste 102
High Point, NC 27265-2627
Phone
(336) 774-2194
NPI assigned
Jan 28, 2021
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 0010-11940 NC Primary

Addresses

Primary practice location

1301 Eastchester Dr Ste 102
High Point, NC 27265-2627

Mailing address

1301 Eastchester Dr Ste 201
High Point, NC 27265-2626

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
I20220411001350 NC Practitioner - Physician Assistant 8123414646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neil Group IncGroup PAC ID 2365581196, 19 clinicians

Practice addresses (Care Compare)

1301 Eastchester Dr
Suite 201
High Point, NC 27265-2626
Phone (336) 774-2194

1399 Ashleybrook LN
Suite 100
Winston Salem, NC 27103-2961
Phone (336) 774-2194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-11940NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Neil Group, Inc CurrentSince Jan 16, 2024 Accepting new patients
The Mental Health Fund Inc CurrentSince Apr 1, 2022 Accepting new patients
The Mental Health Fund Inc CurrentSince Apr 1, 2022 Accepting new patients

Locations

327 1st Ave NW
Hickory, NC 28601
Phone (828) 695-2125

1301 Eastchester Dr
Ste 201
High Point, NC 27265

301 E Meeting St
Morganton, NC 28655
Phone (828) 608-0800

1399 Ashleybrook Ln
Ste 100
Winston Salem, NC 27103
Phone (336) 446-9080

110 W Elm St
Yadkinville, NC 27055
Phone (336) 575-3747

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1083205561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 EASTCHESTER DR STE 201",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 EASTCHESTER DR STE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652627",
            "telephone_number": "336-774-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.