NPIMap

Individual provider Active NPI

Daniel Robert Gerry, MD

  • Facial Plastic Surgery Physician
  • Monroe, NC
National Provider Identifier
1639406598
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
2020-03139 Issued in NC
Practice address
1107 Reynolds St
Monroe, NC 28112-4351
Phone
(704) 752-7575
Fax
(704) 752-7576
NPI assigned
Nov 12, 2009
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 2020-03139 NC Primary
General Acute Care Hospital 282N00000X 006119 GA

Addresses

Primary practice location

1107 Reynolds St
Monroe, NC 28112-4351

Mailing address

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180807002003 GA Practitioner - Otolaryngology 7911140454 Reassigns benefits to 1 organization
I20200818001936 SC Practitioner - Otolaryngology 7911140454 Reassigns benefits to 3 organizations
Practice locations: Fort Mill, SC
I20200818002031 NC Practitioner - Otolaryngology 7911140454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Mercer University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Ear Nose and Throat PAGroup PAC ID 8325946759, 9 clinicians
South Carolina ENT Allergy and Sleep Medicine PAGroup PAC ID 0840214748, 24 clinicians

Practice addresses (Care Compare)

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575

145 Park Central Dr
Suite 100
Columbia, SC 29203-6469
Phone (803) 408-3277

7666 Charlotte Hwy
Suite 220
Indian Land, SC 29707-0004
Phone (704) 752-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-03139NCMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina ENT Allergy & Sleep Medicine PA CurrentSince Jul 1, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 26, 2024 Accepting new patients
Cornerstone Ear Nose & Throat PA CurrentSince Sep 7, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 26, 2024 Accepting new patients
Cornerstone Ear Nose & Throat PA CurrentSince Mar 19, 2023 Accepting new patients
Limestone Surgery Center LLC Past Accepting new patients

Locations

8035 Providence Rd
Ste 320
Charlotte, NC 28277
Phone (704) 752-7575

1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220

110 Highland Center Dr
Columbia, SC 29203
Phone (803) 736-3277

110 Highland Center Dr
Ste 100
Columbia, SC 29203

145 Park Central Dr
Ste 100
Columbia, SC 29203
Phone (803) 736-3277

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

7666 Charlotte Hwy
Ste 220
Indian Land, SC 29707
Phone (704) 752-7575

15 Exchange Dr
Lugoff, SC 29078
Phone (803) 424-2207

2221 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 534-3324

Interoperability endpoints

  • Direct secure messaging: dgerry416578@direct.musc.edu
  • Direct secure messaging: dgerry499810@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: dgerry93512@directmcleodehealth.org

Organizations & group practices 7

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1639406598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-752-7575",
            "fax_number": "704-752-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-752-7575",
            "fax_number": "704-752-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRY",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NC",
            "license": "2020-03139",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "006119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.