Ray Gallagher Antonelli, MD
Individual provider Active NPI Family Medicine Physician · Littleton, NC
NPI 1285128348 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1285128348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2021-02280 (NC)
- Practice address
- 108 N Mosby Ave
Littleton, NC 27850-9804 - Phone
- (252) 586-5411
- Fax
- (252) 586-2028
- NPI assigned
- Jun 21, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 8
Medicare Care Compare profile
- 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 Inc
Carolina Physical Therapy Associates LLC
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
- Centerwell Home Health
- Liberty Home Care VI, LLC
- Healthview Home Health & Hospice, LLC
- Centerwell Home Health
- Liberty Home Care VI, LLC
- Community Home Care & Hospice
- Ecu Health North Hospital
- Unc Health Nash
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211117000109 | NC | Practitioner - Family Practice | 8224389556 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-02280 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 | |
| Rural Health Group, Inc. | Current | 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 | |
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021-02280 | NC | Yes |
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
Other providers in Littleton, NC
- Angels of Mercy Home Health Care Inc
- Association of Goodfellows
- Atlantic Nursing Staff LLC
- Atlantic Nursing Staff LLC
- Atlantic Uniforms and Medical Supplies
- Robin Lamb Bohanon
All providers in Littleton, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.