Active NPI
Amy Watson Gollinger, MD
- Critical Care Medicine (Internal Medicine) Physician
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 2005-01037
- Practice address
- 920 Church St N
Concord, NC 28025-2927 - Phone
- (704) 403-1311
- NPI assigned
- Feb 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2005-01037 | NC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2005-01037 | NC | Primary |
Addresses
Primary practice location
920 Church St N
Concord, NC 28025-2927
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1090 NE Gateway Ct NE
Ste 201
Concord, NC 28025-2414
Phone (704) 403-7770
Other practice location 2
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-4490
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | awatson268723@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-01037 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland Regional Health Network | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Internal Medicine | Current | Accepting new patients |
| Scotland Regional Health Network | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Critical Care Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Pathology Group, PA | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
920 Church St N
Ste 255
Concord, NC 28025
Phone (704) 403-1331
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
1090 NE Gateway Ct NE
Ste 201
Concord, NC 28025
Phone (704) 403-7770
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911
Interoperability endpoints
- awatson268723@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 9
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.
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-
- Specialist
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-
- Hospitalist Physician
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Internal Medicine
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- Critical Care Medicine (Internal Medicine) Physician
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- NPI 1144657636
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Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1235101882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252927",
"telephone_number": "704-403-1311"
}
],
"practiceLocations": [
{
"address_1": "1090 NE Gateway Ct NE",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252414",
"country_code": "US",
"telephone_number": "704-403-7770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-4490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLLINGER",
"first_name": "AMY",
"middle_name": "WATSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2005-01037",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2005-01037",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awatson268723@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "920 Church St N",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280252927",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.