NPIMap

Individual provider Active NPI

Brette Malyn Davis Gailes, PA-C

  • Physician Assistant
  • Matthews, NC
National Provider Identifier
1245046820
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15179 Issued in NC
Practice address
1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105-5403
Phone
(704) 316-3131
Fax
(704) 316-3132
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-15179 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105-5403

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

100 Campus Dr
Elon, NC 27244-9423
Phone (336) 278-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000876 NC Practitioner - Physician Assistant 0840798195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

1401 Matthews Township Pkwy
Suite 110
Matthews, NC 28105-5403
Phone (704) 264-3500

1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc CurrentSince Jun 14, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Jun 14, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 14, 2025 Accepting new patients
Novant Medical Group, Inc. CurrentSince Jun 14, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Jun 14, 2025 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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.

Hospital & facility affiliations 5

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1245046820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 110",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055403",
            "telephone_number": "704-316-3131",
            "fax_number": "704-316-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Elon",
            "state": "NC",
            "postal_code": "272449423",
            "country_code": "US",
            "telephone_number": "336-278-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS GAILES",
        "first_name": "BRETTE",
        "middle_name": "MALYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15179",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.