Active NPI
Richard Andrew Nagle III, DC
- Occupational Health Chiropractor
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- 4976
- Practice address
- 1022 Shelton Ave
Statesville, NC 28677-6826 - Phone
- (704) 838-1234
- Fax
- (704) 768-2081
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | 4976 | NC | Primary |
| Occupational Health Chiropractor | 111NX0100X | 3776 | SC | |
| Rehabilitation Chiropractor | 111NR0400X | CHIR007941 | GA |
Addresses
Primary practice location
1022 Shelton Ave
Statesville, NC 28677-6826
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210517000041 | NC | Practitioner - Chiropractic | 9032528427 |
Reassigns benefits to 1 organization Practice locations: Waxhaw, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gaston Family Health Services Inc
Practice addresses (Care Compare)
1022 Shelton Ave
Statesville, NC 28677-6826
Phone (704) 838-1234
212 Gamble Dr
Lincolnton, NC 28092-4421
Phone (704) 735-7145
420 N Salisbury St
Lexington, NC 27292-3548
Phone (336) 249-6215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007941 | GA | MD | Rehabilitation Chiropractor |
| 4976 | NC | MD | Speech-Language Pathologist |
| 3776 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Atlanta Rapid Testing LLC | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Gaston Family Health Services, Inc | Current | Accepting new patients |
Locations
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
1022 Shelton Ave
Statesville, NC 28677
Phone (704) 768-2080
Interoperability endpoints
- rnagle589177@direct.ochin.org
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
NC
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
-
- Federally Qualified Health Center (FQHC)
- Newton, NC
- NPI 1578043113
-
- Clinical Medical Laboratory
- Marietta, GA
- NPI 1467056333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1124231600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 SHELTON AVE",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286776826",
"telephone_number": "704-838-1234",
"fax_number": "704-768-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE",
"first_name": "RICHARD",
"middle_name": "ANDREW",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "NC",
"license": "4976",
"primary": true
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "SC",
"license": "3776",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR007941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.