Individual provider Active NPI

Safal Y Gandhi, PA-C

  • Physician Assistant
  • Wendell, NC
National Provider Identifier
1528278587
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03672 Issued in NC
Practice address
2600 NC 97 Hwy
Wendell, NC 27591-9319
Phone
(919) 365-7272
Fax
(919) 365-7215
NPI assigned
May 22, 2007
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03672 NC Primary

Addresses

Primary practice location

2600 NC 97 Hwy
Wendell, NC 27591-9319

Mailing address

PO Box 63362
Charlotte, NC 28263-3362
Phone (919) 684-8111

Other practice location 1

337 S Salisbury St # 1400
Raleigh, NC 27601-1728
Phone (919) 856-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000640 NC Practitioner - Physician Assistant 9638251796 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA CurrentSince Aug 25, 2022 Accepting new patients
Moses Cone Physician Services, Inc. Physician Assistant CurrentSince Aug 21, 2024 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Aug 21, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Dec 9, 2023 Accepting new patients
Generations Family Practice, PA CurrentSince Aug 25, 2022 Accepting new patients
Rsi, P.C. CurrentSince Jul 24, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Dec 9, 2023 Accepting new patients
True North Health Navigation LLC PastSince Sep 1, 2023 Accepting new patients

Locations

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

2600 NC Highway 97
Wendell, NC 27591
Phone (919) 279-8316

Organizations & group practices 12

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1528278587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633362",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NC 97 HWY",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919319",
            "telephone_number": "919-365-7272",
            "fax_number": "919-365-7215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 S Salisbury St # 1400",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276011728",
            "country_code": "US",
            "telephone_number": "919-856-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SAFAL",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendell, NC

Sources for this page

Verify at the official NPI Registry.