Active NPI
Nichole Shiontaine Gaines, FNP
- Family Nurse Practitioner
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29312
- Practice address
- 2275 India Hook Rd
Rock Hill, SC 29732-1223 - Phone
- (803) 329-1500
- NPI assigned
- Jul 22, 2024
- Last updated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29312 | SC | Primary |
Addresses
Primary practice location
2275 India Hook Rd
Rock Hill, SC 29732-1223
Mailing address
13500 Thicket CT
Charlotte, NC 28273-6749
Phone (704) 608-1186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- 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
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolina Community Care Inc | Family Medicine | Current | Accepting new patients |
| Carolina Community Care, Inc. | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
2275 India Hook Rd
Rock Hill, SC 29732
Phone (803) 329-1500
Interoperability endpoints
- ngaines1174802@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
dba Hospice & Community Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Rock Hill, SC
- NPI 1801418942
-
dba Hospice & Community Care
- Community Based Hospice Care Agency
- Rock Hill, SC
- NPI 1598721771
Family Medicine
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Carolinas Palliative Care and Hospice Group
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lincolnton, NC
- NPI 1922369883
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Pineville
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1326876475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 THICKET CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736749",
"telephone_number": "704-608-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 INDIA HOOK RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321223",
"telephone_number": "803-329-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "NICHOLE",
"middle_name": "SHIONTAINE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "29312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.