Individual provider Active NPI

Pamela M. Binns-Gibson, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1295749596
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200501505 Issued in NC
Practice address
2610 West Arrowood Drive
Charlotte, NC 28273
Phone
(704) 316-1700
Fax
(704) 316-1701
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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 200501505 NC Primary

Addresses

Primary practice location

2610 West Arrowood Drive
Charlotte, NC 28273

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1700

Other identifiers 1

IdentifierTypeStateIssuer
5904685MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pbinnsgibson15201@direct.novanthealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324003225 SC Practitioner - Family Practice 6002813102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501505NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samg Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1295749596",
    "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",
            "telephone_number": "704-316-1700",
            "fax_number": "704-316-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 WEST ARROWOOD DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "704-316-1700",
            "fax_number": "704-316-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINNS-GIBSON",
        "first_name": "PAMELA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200501505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904685",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbinnsgibson15201@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2610 West Arrowood Drive",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.