Individual provider Active NPI

Tedra Gilmore, MD

  • Obstetrics & Gynecology Physician
  • Laurinburg, NC
National Provider Identifier
1205928223
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2022-02131 Issued in NC
Practice address
105 McAlpine LN
Laurinburg, NC 28352-4637
Phone
(910) 504-8530
Fax
(910) 291-7180
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 98980 FL
Obstetrics & Gynecology Physician 207V00000X MD426029 PA
Obstetrics & Gynecology Physician 207V00000X 2022-02131 NC Primary

Addresses

Primary practice location

105 McAlpine LN
Laurinburg, NC 28352-4637

Mailing address

344 Wheatsheaf Way
Collegeville, PA 19426-4025
Phone (386) 451-9229

Other practice location 1

50 E Hospital St Ste 2
Manning, SC 29102-3149
Phone (803) 433-0797

Other practice location 2

1203 Langhorne Newtown Rd Ste 336
Langhorne, PA 19047-1209
Phone (215) 322-5042

Other practice location 3

1061 Medical Center Dr Ste 102
Orange City, FL 32763-8225
Phone (386) 456-3852

Other identifiers 1

IdentifierTypeStateIssuer
278400900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080320000492 FL Practitioner - Obstetrics/Gynecology 8729164439 Reassigns benefits to 3 organizations
I20181004000386 MD Practitioner - Obstetrics/Gynecology 8729164439 Reassigns benefits to 2 organizations
I20230224000138 NC Practitioner - Obstetrics/Gynecology 8729164439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

105 McAlpine LN
Laurinburg, NC 28352-4637
Phone (910) 277-3331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 98980FLMDObstetrics & Gynecology Physician
2022-02131NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital, Inc Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Feb 1, 2023 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jan 1, 2011 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 5, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Aug 27, 2018 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince May 17, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince May 17, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 5, 2018 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

769 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 258-0123

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

2101 E Jefferson St
#4E
Rockville, MD 20852

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

105 McAlpine Ln
Laurinburg, NC 28352
Phone (910) 277-3331

24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136

Interoperability endpoints

  • Direct secure messaging: tgilmore915009@direct.umm.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1205928223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 WHEATSHEAF WAY",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264025",
            "telephone_number": "386-451-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MCALPINE LN",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524637",
            "telephone_number": "910-504-8530",
            "fax_number": "910-291-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E Hospital St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manning",
            "state": "SC",
            "postal_code": "291023149",
            "country_code": "US",
            "telephone_number": "803-433-0797",
            "fax_number": "803-433-0797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 336",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471209",
            "country_code": "US",
            "telephone_number": "215-322-5042",
            "fax_number": "215-322-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Medical Center Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638225",
            "country_code": "US",
            "telephone_number": "386-456-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "TEDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 98980",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD426029",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2022-02131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278400900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.