Individual provider Active NPI

Michael Joseph Gillespie, MD

  • Cardiovascular Disease Physician
  • Sanford, NC
National Provider Identifier
1609971068
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2004-00210 Issued in NC
Practice address
110 Fields Dr
Suite a
Sanford, NC 27330-5066
Phone
(919) 777-9005
Fax
(919) 708-1550
NPI assigned
Sep 13, 2006
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200400210 NC
Cardiovascular Disease Physician 207RC0000X 2004-00210 NC Primary

Addresses

Primary practice location

110 Fields Dr
Suite a
Sanford, NC 27330-5066

Mailing address

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511

Other practice location 1

110 Fields Dr
Suite A
Sanford, NC 27330-5066
Phone (919) 777-9005

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040814000178 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769455195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Hahnemann University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-18, LLCGroup PAC ID 2668741208, 31 clinicians
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

110 Fields Dr
Suite 1
Sanford, NC 27330-5066
Phone (919) 777-9005

110 Fields Dr
Suite a
Sanford, NC 27330-5068
Phone (919) 777-9005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004-00210NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
MCPC-18, LLC Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Mar 1, 2010 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
MCPC-5, LLC Cardiovascular Disease Current Accepting new patients
Unc Physicians Netwrok, LLC Internal Medicine Past Accepting new patients
Sanford Cardiology, PLLC PastSince Aug 1, 2004 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040

225 Capital Dr
Ste 101
Carthage, NC 28327
Phone (910) 215-5100

3716 Morganton Rd
Ste 2
Fayetteville, NC 28303
Phone (910) 215-5100

1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100

108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100

6322 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-6700

110 Fields Dr
Sanford, NC 27330
Phone (919) 777-9005

110 Fields Dr
Ste 1
Sanford, NC 27330
Phone (919) 777-9005

110 Fields Dr
Ste A
Sanford, NC 27330
Phone (919) 777-9005

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

1818 Doctors Dr
Sanford, NC 27330
Phone (919) 777-9005

1690 US Highway 1 S
Ste 100
Southern Pines, NC 28387
Phone (910) 684-2055

Interoperability endpoints

  • Direct secure messaging: mgillespie128273@firsthealth.direct-ci.net
  • Direct secure messaging: michaelgillespie@phmc.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1609971068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748749",
            "telephone_number": "910-295-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FIELDS DR",
            "address_2": "SUITE A",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305066",
            "telephone_number": "919-777-9005",
            "fax_number": "919-708-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Fields Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273305066",
            "country_code": "US",
            "telephone_number": "919-777-9005",
            "fax_number": "919-708-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200400210",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2004-00210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.