Active NPI
Gage Anthony Luptak, PA-C
- Physician Assistant
- Fayetteville, NC
National Provider Identifier
1316816259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 66806
- Practice address
- 7300 S Raeford Rd
Fayetteville, NC 28304-6162 - Phone
- (910) 488-2120
- NPI assigned
- Oct 30, 2025
- 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 | 66806 | CA | Primary |
Addresses
Primary practice location
7300 S Raeford Rd
Fayetteville, NC 28304-6162
Mailing address
7300 S Raeford Rd
Fayetteville, NC 28304-6162
Phone (910) 488-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66806 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1316816259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 S RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283046162",
"telephone_number": "910-488-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 S RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283046162",
"telephone_number": "910-488-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPTAK",
"first_name": "GAGE",
"middle_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-30",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "66806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.