Meera Gangam, MD
Individual provider Active NPI Rheumatology Physician · Gastonia, NC
NPI 1114160652 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1114160652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 2018-00451 (NC)
- Practice address
- 660 Summit Crossing PL Ste 302
Gastonia, NC 28054-2183 - Phone
- (704) 671-6438
- NPI assigned
- Apr 14, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caromont Medical Group Inc
Practice addresses (Care Compare)
660 Summit Crossing PL
Suite 302
Gastonia, NC 28054-2183
Phone (704) 671-6438
Hospital & facility affiliations
- Caromont Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180918003738 | NC | Practitioner - Rheumatology |
0345468138 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-00451 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network, Inc | Internal Medicine | Current |
Accepting new patients |
| Caromont Medical Group Inc | Current |
Accepting new patients | |
| Caromont Medical Group Inc | Rheumatology | Current |
Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Rheumatology | Current |
Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Caromont Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
4525 Cameron Valley Pkwy
Ste 4100
Charlotte, NC 28211
Phone (704) 302-9300
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
200 Medical Park Dr
Ste 330
Concord, NC 28025
Phone (704) 403-1308
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
660 Summit Crossing Pl
Ste 302
Gastonia, NC 28054
Phone (704) 671-6438
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018-00451 | NC | |
| Rheumatology Physician | 207RR0500X | 2018-00451 | NC | Yes |
Addresses
Primary practice location
660 Summit Crossing PL Ste 302
Gastonia, NC 28054-2183
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Other practice location 1
200 Medical Park Dr
Ste 330
Concord, NC 28025-2982
Phone (704) 403-1308
Other providers in Gastonia, NC
- Kristen Galbraith
- Ayla Marie Gallagher
- Madison Nicole Gallo
- Samantha Anne Gambal
- Gary Glenn Gammon
- Ganglani DMD PLLC
- Ganglani DMD PLLC
- Gantt Psychotherapeutic & Consultation Services, PLLC
- Joseph Gaouette
- Julissa Lizeth Garcia Medrano
All providers in Gastonia, NC · Rheumatology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.