Active NPI
Gestalt Pain Consultants
- Interventional Pain Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- GESTALT PAIN CONSULTANTS
- Practice address
- 10450 Park Rd Ste 100
Charlotte, NC 28210-8546 - Phone
- (704) 526-0091
- Fax
- (980) 237-6858
- NPI assigned
- Oct 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adewunmi Akande, MD
- Title
- Owner
- Phone
- (704) 526-0091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
10450 Park Rd Ste 100
Charlotte, NC 28210-8546
Mailing address
10450 Park Rd Ste 100
Charlotte, NC 28210-8546
Phone (704) 526-0091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2159317 | Gestalt Pain Consultants | Certificate of waiver | Dec 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
10450 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 526-0091
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Charlotte, NC
- NPI 1063405306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1447726989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 PARK RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108546",
"telephone_number": "704-526-0091",
"fax_number": "980-237-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 PARK RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108546",
"telephone_number": "704-526-0091",
"fax_number": "980-237-6858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GESTALT PAIN CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-23",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "AKANDE",
"authorized_official_first_name": "ADEWUNMI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-526-0091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.