Individual provider Active NPI

Gabriel Arcadio Rocha, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1366711293
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04610 Issued in NC
Practice address
5801 Executive Center Dr
Charlotte, NC 28212-8861
Phone
(704) 863-1550
NPI assigned
Dec 21, 2011
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21284 CA
Physician Assistant 363A00000X 0010-04610 NC Primary

Addresses

Primary practice location

5801 Executive Center Dr
Charlotte, NC 28212-8861

Mailing address

10820 Boykin PL Apt 110
Matthews, NC 28105-8991
Phone (910) 261-7336

Other identifiers 3

IdentifierTypeStateIssuer
1090884OtherNCCPA IDENTIFICATION NUMBER
1866PAMedicaidSC
1366711293MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140722002192 NC Practitioner - Physician Assistant 8527284819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

5801 Executive Ctr Dr
Charlotte, NC 28212-8861
Phone (704) 863-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21284CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2025 Accepting new patients
Carolinas Physicians Network Inc PastSince Jan 26, 2025 Accepting new patients
Starmed Urgent & Family Care, P.a. Physician Assistant PastSince Dec 1, 2019 Accepting new patients
Michael J. Schmitt, DC PA PastSince May 6, 2002 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

5801 Executive Center Dr
Charlotte, NC 28212
Phone (704) 863-1550

1423 E Franklin St
Ste D
Monroe, NC 28112
Phone (704) 226-6474

Interoperability endpoints

  • Direct secure messaging: gabriel.rocha.1@1721.direct.athenahealth.com
  • Direct secure messaging: grocha2973712@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1366711293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 BOYKIN PL APT 110",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058991",
            "telephone_number": "910-261-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 EXECUTIVE CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128861",
            "telephone_number": "704-863-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "GABRIEL",
        "middle_name": "ARCADIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21284",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA IDENTIFICATION NUMBER",
            "identifier": "1090884",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1866PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366711293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.