Individual provider Active NPI

Richard Andrew Nagle III, DC

  • Occupational Health Chiropractor
  • Statesville, NC
National Provider Identifier
1124231600
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
4976 Issued in NC
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

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 5496733925, 98 clinicians

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

LicenseStateTypeSpecialty
CHIR007941GAMDRehabilitation Chiropractor
4976NCMDSpeech-Language Pathologist
3776SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Jul 25, 2022 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 CurrentSince Jul 25, 2022 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.