Gabriel Lamont Ollison, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10900 Issued in NC

Practice address

203 Salisbury St
Wadesboro, NC 28170-2155

Phone

(704) 694-6700

NPI assigned

Jan 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gabriel.ollison.1@12412.direct.athenahealth.com

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.

• Afc Urgent Care and Family Care of WNC, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1679066658
  Medicare reassignment Care Compare group
• Carolina Quickcare Family Practice, PLLC

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899
  Medicare reassignment
• The C.W. Williams Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1558308080
  NPD (past)

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1609464122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WILDERNESS TRAIL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282145006",
            "telephone_number": "704-968-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SALISBURY ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702155",
            "telephone_number": "704-694-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLISON",
        "first_name": "GABRIEL",
        "middle_name": "LAMONT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdolhakim Niazi-Sai, MD FACP FRCP C
• No Bounds Care Inc of NC
• North Carolina Anesthesiology
• North Carolina CVS Pharmacy LLC
• Edward L Olcese, DDS
• One Love Periodics
• Options Driven
• Overseer, LLC
• Pako Investments,Inc.
• Willie Gene Parson Jr.

• Physician Assistant in Wadesboro, NC
• Providers in Wadesboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.
• 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.

Verify at the official NPI Registry.