Individual provider Active NPI

Thomas Vincent Gocke III, PA-C

  • Physician Assistant
  • Farmington, CT
National Provider Identifier
1508819749
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003817 Issued in CT
Practice address
263 Farmington Avenue
Farmington, CT 06030-4038
Phone
(860) 679-6600
Fax
(860) 679-6604
NPI assigned
May 18, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003817 CT Primary
Surgical Physician Assistant 363AS0400X 690 SC

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030-4038

Mailing address

263 Farmington Ave
Farmington, CT 06030-4038
Phone (860) 679-6600

Other practice location 1

Grand Strand Orthopaedic Care
920 Doug White BLVD, Suite 130
Myrtle Beach, SC 29572-4181
Phone (843) 855-6301

Other names 1

  • Tom Gocke Other name

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address tgocke718832@direct.novanthealth.org
Direct Messaging Address tgocke163700@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tgocke163700@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tgocke163700@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tgocke163700@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tgocke84296@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, WV, OR, CT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040921000085 SC Practitioner - Physician Assistant 9931177698 Reassigns benefits to 1 organization
I20090306000048 NC Practitioner - Physician Assistant 9931177698 Reassigns benefits to 2 organizations
I20200723001112 WV Practitioner - Physician Assistant 9931177698 Reassigns benefits to 1 organization
I20231101003310 OR Practitioner - Physician Assistant 9931177698 Reassigns benefits to 1 organization
I20250130002993 CT Practitioner - Physician Assistant 9931177698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1200
Anderson, SC 29621-7916
Phone (864) 716-6140

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

2650 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 269-8282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
69.6
Promoting interoperability
100
Improvement activities
40
Cost
76.59

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
690SCMDDental Hygienist
2366WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Anmed Health CurrentSince Feb 2, 2026 Accepting new patients
University of Connecticut Health Center CurrentSince Jan 17, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 16, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Sep 26, 2023 Accepting new patients
Anmed Health CurrentSince Feb 2, 2026 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 16, 2020 Accepting new patients
Orthocarolina Physician Assistant CurrentSince Jan 1, 2013 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 28, 2021 Accepting new patients
Orthocarolina Physician Assistant CurrentSince Jan 1, 2013 Accepting new patients
Campbell Clinic, PC Physician Assistant Past Accepting new patients
Anmed Health Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Grand Strand Surgical Specialists, LLC Past Accepting new patients
CC Bpci PLC Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

194 Doctors Dr
Boone, NC 28607
Phone (828) 264-1100

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

35 Valley View Ter
Waynesville, NC 28786
Phone (828) 454-9816

200 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-7950

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

100 Healthy Way
Ste 1200
Anderson, SC 29621
Phone (864) 260-9910

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1508819749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060304038",
            "telephone_number": "860-679-6600",
            "fax_number": "860-679-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060304038",
            "telephone_number": "860-679-6600",
            "fax_number": "860-679-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Grand Strand Orthopaedic Care",
            "address_2": "920 Doug White BLVD, Suite 130",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724181",
            "country_code": "US",
            "telephone_number": "843-855-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOCKE",
        "first_name": "THOMAS",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "003817",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgocke718832@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "200 Robinhood Medical Plz",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271065471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgocke163700@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgocke163700@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgocke163700@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgocke163700@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgocke84296@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060304038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "GOCKE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.