Active NPI
Gavin Christopher Cianci, PA-C
- Physician Assistant
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11254
- Practice address
- 810 Mitchell Ave
Salisbury, NC 28144-6253 - Phone
- (704) 216-5633
- Fax
- (704) 639-0785
- NPI assigned
- Nov 22, 2019
- Last updated
- Jun 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-11254 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | MA061134 | PA |
Addresses
Primary practice location
810 Mitchell Ave
Salisbury, NC 28144-6253
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gavin.c.cianci@upmcdirect.com | UPMC | |
| Direct Messaging Address | gclanci880693@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
19485 Old Jetton Rd
Suite 210
Cornelius, NC 28031-6592
Phone (704) 316-1830
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11254 | NC | MD | Physician Assistant |
| MA061134 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
19485 Old Jetton Rd
Ste 210
Cornelius, NC 28031
Phone (704) 316-1830
810 Mitchell Ave
Salisbury, NC 28144
Phone (704) 216-2633
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911
1400 Locust St
Ste 220
Pittsburgh, PA 15219
3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254
Organizations & group practices 8
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.
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Providence OB/GYN
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1881015089
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Orthopaedic Surgery Physician
- Pittsburgh, PA
- NPI 1720036601
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Rowan Medical Center
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1134765324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MITCHELL AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281446253",
"telephone_number": "704-216-5633",
"fax_number": "704-639-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIANCI",
"first_name": "GAVIN",
"middle_name": "CHRISTOPHER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-22",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11254",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA061134",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gavin.c.cianci@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gclanci880693@direct.novanthealth.org",
"affiliation": "N",
"address_1": "810 Mitchell Ave",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281446253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.