Active NPI
Timothy Michael Gast, PA-C
- Physician Assistant
- Southern Pines, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102365
- Practice address
- 2170 Midland Rd
Southern Pines, NC 28387-2927 - Phone
- (910) 295-2100
- Fax
- (910) 295-0917
- NPI assigned
- Aug 2, 2006
- Last updated
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102365 | NC | Primary |
Addresses
Primary practice location
2170 Midland Rd
Southern Pines, NC 28387-2927
Mailing address
2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100
Other practice location 1
107 Hunt Dr
Dunn, NC 28334-4987
Phone (910) 891-4129
Other practice location 2
923 N 2nd St
Ste 201
Albermarle, NC 28001-3370
Phone (704) 982-1000
Other practice location 3
220 Foust St
Ste C
Asheboro, NC 27203-5586
Phone (336) 629-1451
Other practice location 4
1991 Fordham Dr
Ste 301
Fayetteville, NC 28304-3774
Phone (910) 485-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tim.gast@direct.carolinaeye.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wake Forest University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Medical Cir
Rockingham, NC 28379-5221
Phone (910) 997-4489
107 Hunt Dr
Dunn, NC 28334-4987
Phone (910) 891-4129
1201 Cotton Grove Rd
Lexington, NC 27292-5264
Phone (336) 565-5001
2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100
705 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone (843) 537-6962
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.76 of 100
- Quality
- 87.45
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 70.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102365 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Eye Associates Inc | Current | Accepting new patients | |
| Carolina Eye Associates Inc | Current | Accepting new patients | |
| Carolina Eye Associates Inc | Current | Accepting new patients | |
| Carolina Eye Associates Inc | Current | Accepting new patients |
Locations
923 N 2nd St
Ste 201
Albemarle, NC 28001
Phone (704) 982-1000
220 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 629-1451
107 Hunt Dr
Dunn, NC 28334
Phone (910) 891-4129
1991 Fordham Dr
Ste 301
Fayetteville, NC 28304
Phone (910) 484-7744
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
2905 N Elm St
Lumberton, NC 28358
Phone (910) 370-0100
101 Medical Cir
Rockingham, NC 28379
Phone (910) 997-4489
2170 Midland Rd
Southern Pnes, NC 28387
Phone (910) 295-1221
705 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-6962
Interoperability endpoints
- tim.gast@direct.carolinaeye.nextgenshare.com
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.
-
- Family Medicine Physician
- Burlington, NC
- NPI 1437860889
-
dba Carolina Eye Associates PA
- Ophthalmology Physician
- Dunn, NC
- NPI 1861655714
-
dba FirstHealth Surgical Specialties
- Orthopaedic Surgery Physician
- Rockingham, NC
- NPI 1487919973
-
- Surgery Physician
- Pinehurst, NC
- NPI 1962434324
-
dba Carolina Eye Associates PA
- Ophthalmology Physician
- Southern Pines, NC
- NPI 1245211333
-
dba Carolina Eye Associates PA
- Ophthalmology Physician
- Fayetteville, NC
- NPI 1265587828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1295742054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 MIDLAND RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872927",
"telephone_number": "910-295-2100",
"fax_number": "910-295-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 MIDLAND RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872927",
"telephone_number": "910-295-2100",
"fax_number": "910-295-0917"
}
],
"practiceLocations": [
{
"address_1": "107 Hunt Dr",
"address_purpose": "LOCATION",
"city": "Dunn",
"state": "NC",
"postal_code": "283344987",
"country_code": "US",
"telephone_number": "910-891-4129",
"fax_number": "910-891-4320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "923 N 2nd St",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Albermarle",
"state": "NC",
"postal_code": "280013370",
"country_code": "US",
"telephone_number": "704-982-1000",
"fax_number": "704-985-1112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Foust St",
"address_2": "Ste C",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272035586",
"country_code": "US",
"telephone_number": "336-629-1451",
"fax_number": "336-629-3989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1991 Fordham Dr",
"address_2": "Ste 301",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043774",
"country_code": "US",
"telephone_number": "910-485-2020",
"fax_number": "910-485-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAST",
"first_name": "TIMOTHY",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102365",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tim.gast@direct.carolinaeye.nextgenshare.com",
"affiliation": "N",
"address_1": "2170 Midland Rd",
"city": "Southern Pines",
"state": "NC",
"country_code": "US",
"postal_code": "283872999",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.