Mary Pope Gantt, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

122618 Issued in NC

Practice address

318 Turnersburg Hwy
Statesville, NC 28625-2798

Phone

(704) 878-5300

Fax

(704) 878-5311

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669560322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 US HIGHWAY 64 W",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270288463",
            "telephone_number": "704-546-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 TURNERSBURG HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252798",
            "telephone_number": "704-878-5300",
            "fax_number": "704-878-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "MARY",
        "middle_name": "POPE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "122618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Williams Gaddis, COSMETOLOGIST
• Gary Neil Gaither, DDS
• Nicole Gamez, OTR/L
• Venu Gopala Reddy Gangireddy, MD
• Thomas Gansman, MD
• Trishwant Singh Garcha, MD
• Joshua Paul Gardner, LCMHCA
• James Alexander Garduno, DMD
• Meredith Whitney Garolds, FNP-C
• Jonathan Douglas Garrett, PA-C

• Community Health Registered Nurse in Statesville, NC
• Providers in Statesville, NC by specialty
• Community Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.