Individual provider Active NPI

Jamie Ortosky Gallagher, FNP-C

  • Family Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1215169305
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004470 Issued in NC
Practice address
817 Buckner CT
Fuquay Varina, NC 27526-2806
Phone
(910) 520-1438
Fax
(888) 225-1886
NPI assigned
Aug 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004470 NC Primary

Addresses

Primary practice location

817 Buckner CT
Fuquay Varina, NC 27526-2806

Mailing address

1441 E Broad St Ste 121
Fuquay Varina, NC 27526-1968
Phone (910) 520-1438

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
I20091012000412 NC Practitioner - Nurse Practitioner 6103962733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5004470NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
The Menopause Center PLLC Family CurrentSince May 18, 2025 Accepting new patients
Unc Physicians Network LLC CurrentSince Dec 1, 2015 Accepting new patients
Raleigh Durham Medical Group PA PastSince Jul 25, 2021 Accepting new patients

Locations

115 Kildaire Park Dr
Ste 108
Cary, NC 27518
Phone (919) 469-1252

400 Eastowne Dr
Chapel Hill, NC 27514
Phone (919) 957-6253

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

1006 Procure St
Ste 100
Fuquay Varina, NC 27526
Phone (919) 577-9952

1617 N Main St
#100
Fuquay Varina, NC 27526
Phone (919) 577-9952

1100 Holly Springs Rd
Ste 212
Holly Springs, NC 27540
Phone (919) 552-1457

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Organizations & group practices 4

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": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1215169305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E BROAD ST STE 121",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261968",
            "telephone_number": "910-520-1438",
            "fax_number": "888-225-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 BUCKNER CT",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262806",
            "telephone_number": "910-520-1438",
            "fax_number": "888-225-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JAMIE",
        "middle_name": "ORTOSKY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-22",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.