Reginald M Gilkesson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013868 Issued in NC

Practice address

1305 S Cannon Blvd
Kannapolis, NC 28083-6232

Phone

(704) 939-1100

NPI assigned

Sep 10, 2007

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary Care Solutions Inc

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1053535369

  Clinical

  Medicare reassignment NPD
• Growth Wellness and Change Center LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1649852377
  NPD Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1467647701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BETTERTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690154",
            "telephone_number": "704-222-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836232",
            "telephone_number": "704-939-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILKESSON",
        "first_name": "REGINALD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Gardner, LCSWA
• Maryalice O Garrison
• Genesis Family Home
• Alyssa Danielle Genova, PT, DPT
• Bobby Edward Gibbs, DDS
• Darlene Kay Gilmore, LPN
• Shaquana Shanice Glenn
• Latrecia Glover, LSWA
• Ronald Clay Gobble, RPH , MBA/MHA
• Good Sticks Mobile Phlebotomy LLC

• Clinical Social Worker in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.