Gatling Domestic Agency

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

GATLING DOMESTIC AGENCY

Practice address

4633 Kellys TRL
Winston Salem, NC 27101-2319

Phone

(336) 721-2135

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Mohammed GatlingNPI 1366617920

Title

General Manager

Phone

(336) 721-2135

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Mohammed Gatling

  • Contractor
  • Winston Salem, NC
  • NPI 1366617920
  NPD (past) Authorized official

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1659535326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 KELLYS TRL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012319",
            "telephone_number": "336-721-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 KELLYS TRL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012319",
            "telephone_number": "336-721-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATLING DOMESTIC AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "GATLING",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "336-721-2135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Associates of the Piedmont, P.a. (Anesthesia Services)
• Gastroenterology Associates of the Piedmont, P.a.
• Gastroenterology Associates of the Piedmont, P.a.
• Gastroenterology Associates of the Piedmont, P.a.
• Gastroenterology Associates of the Piedmont, P.a.
• Gloria Mohammed Gatling
• Pamela Diane Gatto, MS LCAS
• Bonnie Lynn Gaudin, PA
• Natalie Gaughan, MD
• Corinne Elizabeth Gautreaux

• Contractor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Contractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.