Individual provider Active NPI

Corinne Denise Gerhart, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1457490211
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
2021-02128 Issued in NC
Practice address
324 N McDowell St Ste 200
Charlotte, NC 28204-2222
Phone
(704) 384-6478
Fax
(704) 384-8220
NPI assigned
Feb 6, 2007
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021-02128 NC
Family Medicine Physician 207Q00000X OS9449 FL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2021-02128 NC Primary

Addresses

Primary practice location

324 N McDowell St Ste 200
Charlotte, NC 28204-2222

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-6478

Other practice location 1

1815 Griffin Rd Ste 410
Dania Beach, FL 33004-2252
Phone (954) 624-7900

Other identifiers 3

IdentifierTypeStateIssuer
201841070OtherFLTAX ID
277624300MedicaidFL
92761OtherFLBCBS

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2021-02128NCMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Venetian Hospitalist Services PastSince Oct 1, 2011 Accepting new patients
Gulf Coast Hma Physician Management LLC Family Medicine Past Accepting new patients
Seasons Hospice & Palliative Care of Broward Florida LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cgerhart1026105@direct.novanthealth.org

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, 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1457490211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-6478",
            "fax_number": "704-384-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N MCDOWELL ST STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042222",
            "telephone_number": "704-384-6478",
            "fax_number": "704-384-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Griffin Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Dania Beach",
            "state": "FL",
            "postal_code": "330042252",
            "country_code": "US",
            "telephone_number": "954-624-7900",
            "fax_number": "954-925-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERHART",
        "first_name": "CORINNE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02128",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9449",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2021-02128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201841070",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277624300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92761",
            "state": "FL"
        }
    ],
    "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 Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.