Individual provider Active NPI

Austin Dale Gates, PA-C

  • Physician Assistant
  • Lincolnton, NC
National Provider Identifier
1144685637
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11404 Issued in NC
Practice address
111 Dave Warlick Dr
Lincolnton, NC 28092-4411
Phone
(704) 240-8133
Fax
(866) 493-3890
NPI assigned
Dec 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 0010-11404 NC Primary

Addresses

Primary practice location

111 Dave Warlick Dr
Lincolnton, NC 28092-4411

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

910 E Church St Ste B
Cherryville, NC 28021-2968
Phone (704) 435-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021001391 NC Practitioner - Physician Assistant 4587052758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Dave Warlick Dr
Lincolnton, NC 28092-4411
Phone (704) 214-0935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11404NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Oct 25, 2021 Accepting new patients
Functional Medicine 1 PLLC Current Accepting new patients

Locations

120 S Mountain St
Cherryville, NC 28021
Phone (704) 445-0422

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

910 E Church St
Ste B
Cherryville, NC 28021
Phone (704) 435-0422

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

111 Dave Warlick Dr
Lincolnton, NC 28092
Phone (704) 214-0935

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBDDD/Endpoint/FIBDDD

Organizations & group practices 5

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1144685637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAVE WARLICK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924411",
            "telephone_number": "704-240-8133",
            "fax_number": "866-493-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Cherryville",
            "state": "NC",
            "postal_code": "280212968",
            "country_code": "US",
            "telephone_number": "704-435-5227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "AUSTIN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.