Active NPI
Douglas Lee Gollehon, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Cary, NC
National Provider Identifier
1639143845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 29277
- Practice address
- 1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413 - Phone
- (919) 467-4992
- Fax
- (919) 481-9607
- NPI assigned
- Feb 14, 2006
- Last updated
- Feb 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 29277 | NC | Primary |
Addresses
Primary practice location
1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413
Mailing address
1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413
Phone (919) 467-4992
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7936164 | Medicaid | NC | |
| 2354647 | Other | AETNA HMO | |
| 4393368 | Other | AETNA PPO | |
| 2077885 | Other | FIRST HEALTH | |
| 36164 | Other | BCBS | |
| 2429303 | Other | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29277 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Orthopaedic and Sports Medicine Specialists, P.a. | Past | Accepting new patients | |
| Cary Orthopaedic and Sports Medicine Specialists, P.a. | Past | Accepting new patients |
Interoperability endpoints
- douglas.gollehon@1100.chartlogic.direct-ci.com
Organizations & group practices 2
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.
-
- Specialist
- Cary, NC
- NPI 1447289731
-
- Specialist
- Holly Springs, NC
- NPI 1982175915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1639143845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SE CARY PKWY",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275187413",
"telephone_number": "919-467-4992",
"fax_number": "919-481-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SE CARY PKWY",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275187413",
"telephone_number": "919-467-4992",
"fax_number": "919-481-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLEHON",
"first_name": "DOUGLAS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "29277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7936164",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2354647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4393368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2077885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36164",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2429303",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.