Individual provider Active NPI

George Andrew Gehrken Jr., MD

  • Urology Physician
  • Martinsville, VA
National Provider Identifier
1396799318
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101038299 Issued in VA
Practice address
101 Cleveland Ave
Suite C
Martinsville, VA 24112-3700
Phone
(276) 634-5000
Fax
(276) 634-5229
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101038299 VA Primary

Addresses

Primary practice location

101 Cleveland Ave
Suite C
Martinsville, VA 24112-3700

Mailing address

101 Cleveland Ave
Suite C
Martinsville, VA 24112-3700
Phone (276) 634-5000

Other identifiers 5

IdentifierTypeStateIssuer
7503067MedicaidVA
1396799318MedicaidVA
212098OtherVACIGNA
027132OtherVAANTHEM
7906965MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090127000055 VA Practitioner - Urology 7315992765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians

Practice addresses (Care Compare)

320 Hospital Dr
Martinsville, VA 24112-1900
Phone (276) 666-7394

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101038299VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Stone Center PLLC Urology CurrentSince Jun 15, 2009 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jan 1, 2020 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

1907 S Hawthorne Rd
Winston Salem, NC 27103

1040 Main St
Danville, VA 24541
Phone (434) 792-1433

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

101 Cleveland Ave
Ste C
Martinsville, VA 24112
Phone (276) 634-5000

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: georgegehrkenjr@pua.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1396799318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE",
            "address_2": "SUITE C",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-634-5000",
            "fax_number": "276-634-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE",
            "address_2": "SUITE C",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-634-5000",
            "fax_number": "276-634-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRKEN",
        "first_name": "GEORGE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101038299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7503067",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396799318",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "212098",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "027132",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7906965",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.