NPIMap

Individual provider Active NPI

Ray Gallagher Antonelli, MD

  • Family Medicine Physician
  • Littleton, NC
National Provider Identifier
1285128348
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-02280 Issued in NC
Practice address
108 N Mosby Ave
Littleton, NC 27850-9804
Phone
(252) 586-5411
Fax
(252) 586-2028
NPI assigned
Jun 21, 2018
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021-02280 NC Primary

Addresses

Primary practice location

108 N Mosby Ave
Littleton, NC 27850-9804

Mailing address

PO Box 640
Roanoke Rapids, NC 27870-0640
Phone (252) 536-5440

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
I20211117000109 NC Practitioner - Family Practice 8224389556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Group IncGroup PAC ID 9739090226, shared by 19 NPIs, 65 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

108 Mosby Ave
Littleton, NC 27850-9411
Phone (252) 586-5411

1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Phone (919) 497-8414

270 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-0134

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-02280NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Group, Inc. CurrentSince Nov 9, 2021 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. CurrentSince Dec 6, 2025 Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 27, 2021 Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 27, 2021 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group Inc Current Accepting new patients

Locations

100 W Parkview Dr
Henderson, NC 27536
Phone (252) 438-3549

108 N Mosby Ave
Littleton, NC 27850
Phone (252) 586-5411

110 Division St
Norlina, NC 27563
Phone (252) 456-2009

270 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-6816

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1285128348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700640",
            "telephone_number": "252-536-5440",
            "fax_number": "252-536-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MOSBY AVE",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509804",
            "telephone_number": "252-586-5411",
            "fax_number": "252-586-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "RAY",
        "middle_name": "GALLAGHER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NC

Sources for this page

Verify at the official NPI Registry.