Active NPI
Tedra Gilmore, MD
- Obstetrics & Gynecology Physician
- Laurinburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2022-02131
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278400900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 98980 | FL | MD | Obstetrics & Gynecology Physician |
| 2022-02131 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland Memorial Hospital, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Maryland St. Joseph Medical Group, LLC | Current | 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 | Current | 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
- 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.
-
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Fort Walton Beach, FL
- NPI 1194591966
-
- Obstetrics & Gynecology Physician
- Laurinburg, NC
- NPI 1992184543
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Surgical Assistant
- Towson, MD
- NPI 1053816074
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.