Active NPI
Kayleigh Ann Gilmore, PA-C
- Physician Assistant
- Garner, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-06023
- Practice address
- 811 US 70 Hwy W
Garner, NC 27529-2541 - Phone
- (919) 235-6565
- NPI assigned
- Dec 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-06023 | NC | |
| Physician Assistant | 363A00000X | 0010-06023 | NC | Primary |
Addresses
Primary practice location
811 US 70 Hwy W
Garner, NC 27529-2541
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-0351
Other practice location 1
2001 Sunset Ave
Rocky Mount, NC 27804-2523
Phone (252) 458-2508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588029052 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 E Millbrook Rd
Raleigh, NC 27609-5473
Phone (919) 719-0119
231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone (919) 232-0322
2908 N Herritage St
Kinston, NC 28501-1580
Phone (252) 523-3111
2930 Forestville Rd
Raleigh, NC 27616-8774
Phone (919) 235-6500
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270
3420 Ten Ten Rd
Suite 318
Cary, NC 27518-6101
Phone (919) 362-5871
5156 Veterans Pkwy
Garner, NC 27529-8417
Phone (919) 329-5000
7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900
811 US 70 Hwy W
Garner, NC 27529-2541
Phone (919) 235-6565
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-06023 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients |
Locations
811 US 70 Hwy W
Garner, NC 27529
Phone (919) 235-6565
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
- Obstetrics & Gynecology Physician
- Raleigh, NC
- NPI 1063076453
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1588029052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949",
"telephone_number": "919-350-0351",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 US 70 HWY W",
"city": "GARNER",
"state": "NC",
"postal_code": "275292541",
"telephone_number": "919-235-6565"
}
],
"practiceLocations": [
{
"address_1": "2001 Sunset Ave",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278042523",
"country_code": "US",
"telephone_number": "252-458-2508",
"fax_number": "919-882-9570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILMORE",
"first_name": "KAYLEIGH",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-06023",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-06023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588029052",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.
- 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.