NPIMap

Individual provider Active NPI

Richard Ramas Gillespie Jr., MD

  • Otolaryngology Physician
  • Charlotte, NC
National Provider Identifier
1083644678
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
200100689 Issued in NC
Practice address
8924 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone
(704) 703-1080
Fax
(704) 703-1090
NPI assigned
Jul 3, 2006
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 200100689 NC Primary

Addresses

Primary practice location

8924 Blakeney Professional Dr
Charlotte, NC 28277-6660

Mailing address

8924 Blakeney Professional Dr # 1
Charlotte, NC 28277-6660
Phone (704) 703-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000753 SC Practitioner - Otolaryngology 6901992726 Reassigns benefits to 1 organization
Practice locations: Fort Mill, SC
I20101014000679 NC Practitioner - Otolaryngology 6901992726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Duke University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queen City Ear Nose and Throat PLLCGroup PAC ID 0941531487, 7 clinicians
Forsyth Medical Group, LLCGroup PAC ID 3678478054, 47 clinicians

Practice addresses (Care Compare)

1994 Wellness Blvd
Suite 210
Monroe, NC 28110-7768
Phone (704) 703-1080

2536 Lengers Way
Fort Mill, SC 29707-7126
Phone (803) 802-9500

8924 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone (704) 703-1080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200100689NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queen City Ear Nose and Throat PLLC Otolaryngology CurrentSince Aug 10, 2019 Accepting new patients
Forsyth Medical Group LLC Otolaryngology CurrentSince Feb 3, 2026 Accepting new patients
Forsyth Medical Group LLC Otolaryngology CurrentSince Feb 3, 2026 Accepting new patients
Forsyth Memorial Hospital Inc Past Accepting new patients
Cornerstone Ear Nose & Throat PA Otolaryngology PastSince Mar 19, 2023 Accepting new patients

Locations

8924 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 703-1080

8924 Blakeney Professional Dr
#1
Charlotte, NC 28277

27 Doctors Dr
Hendersonvlle, NC 28792
Phone (828) 687-3800

1994 Wellness Blvd
Ste 210
Monroe, NC 28110
Phone (704) 290-5995

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

Interoperability endpoints

  • Direct secure messaging: richard.gillespie.jr.1@27575.direct.athenahealth.com

Organizations & group practices 6

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 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1083644678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 BLAKENEY PROFESSIONAL DR # 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776660",
            "telephone_number": "704-703-1080",
            "fax_number": "704-289-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 BLAKENEY PROFESSIONAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776660",
            "telephone_number": "704-703-1080",
            "fax_number": "704-703-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "RICHARD",
        "middle_name": "RAMAS",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "200100689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.