Active NPI
Gerard A McCall, M.A.
- Assistive Technology Practitioner Audiologist
- Goldsboro, NC
National Provider Identifier
1417986266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- 1016
- Practice address
- 2707 Medical Office PL
Goldsboro, NC 27534-9458 - Phone
- (919) 735-9146
- Fax
- (919) 735-0582
- NPI assigned
- Jul 2, 2006
- 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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | 1016 | NC | Primary |
Addresses
Primary practice location
2707 Medical Office PL
Goldsboro, NC 27534-9458
Mailing address
2707 Medical Office PL
Goldsboro, NC 27534-9458
Phone (919) 735-9146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131KJ | Other | NC | BCBSNC |
| 3404189 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1417986266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349458",
"telephone_number": "919-735-9146",
"fax_number": "919-735-0582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349458",
"telephone_number": "919-735-9146",
"fax_number": "919-735-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "GERARD",
"middle_name": "A",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "NC",
"license": "1016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "131KJ",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404189",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.