Individual provider Active NPI

Colin Hayes Gage, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1184987877
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04941 Issued in NC
Practice address
200 Wellesley Trade LN
Cary, NC 27519-5576
Phone
(919) 363-7546
Fax
(919) 363-3616
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04941 NC Primary

Addresses

Primary practice location

200 Wellesley Trade LN
Cary, NC 27519-5576

Mailing address

200 Wellesley Trade LN
Cary, NC 27519-5576
Phone (919) 363-7546

Other practice location 1

6402 McCrimmon Pkwy Ste 100
Morrisville, NC 27560-8139
Phone (919) 655-1000

Other practice location 2

7750 McCrimmon Pkwy Ste 100
Cary, NC 27519-1912
Phone (919) 234-1577

Other identifiers 10

IdentifierTypeStateIssuer
CD28777OtherSCGROUP MEDICARE RAILROAD #
20076508OtherSCGROUP SELECT HEALTH DME #
1225006760OtherSCGROUP NPI #
1701OtherSCGROUP MEDICARE PIN #
461555OtherSCGROUP MEDICARE DME #
20000499OtherSCGROUP SELECT HEALTH PROVIDER #
1326287434OtherSCGROUP MEDICARE DME NPI #
042299001OtherSCGROUP DMERC #
PA0971OtherSCGROUP MEDICAID #
57-0634057OtherSCGROUP TAX ID #

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
I20141016002795 NC Practitioner - Physician Assistant 3072751130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Skin Center PAGroup PAC ID 1153418371, 10 clinicians

Practice addresses (Care Compare)

200 Wellesley Trade LN
Cary, NC 27519-5576
Phone (919) 363-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1789SCMDDentist
0010-04941NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Skin Center, PA CurrentSince Feb 9, 2026 Accepting new patients
Pih Health Physicians PastSince Feb 9, 2026 Accepting new patients

Locations

200 Wellesley Trade Ln
Cary, NC 27519
Phone (919) 363-7546

Interoperability endpoints

  • Direct secure messaging: colin.gage@mccrimmon.eclinicaldirectplus.com

Organizations & group practices 3

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1184987877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WELLESLEY TRADE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195576",
            "telephone_number": "919-363-7546",
            "fax_number": "919-363-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WELLESLEY TRADE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195576",
            "telephone_number": "919-363-7546",
            "fax_number": "919-363-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6402 McCrimmon Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275608139",
            "country_code": "US",
            "telephone_number": "919-655-1000",
            "fax_number": "888-355-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7750 McCrimmon Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275191912",
            "country_code": "US",
            "telephone_number": "919-234-1577",
            "fax_number": "888-355-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGE",
        "first_name": "COLIN",
        "middle_name": "HAYES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE RAILROAD #",
            "identifier": "CD28777",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP SELECT HEALTH DME #",
            "identifier": "20076508",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1225006760",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN #",
            "identifier": "1701",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE DME #",
            "identifier": "461555",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP SELECT HEALTH PROVIDER #",
            "identifier": "20000499",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE DME NPI #",
            "identifier": "1326287434",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP DMERC #",
            "identifier": "042299001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID #",
            "identifier": "PA0971",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID #",
            "identifier": "57-0634057",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.