NPIMap

Individual provider Active NPI

Gandhari Loomis, DO

  • Family Medicine Physician
  • Morganton, NC
National Provider Identifier
1689876054
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-01695 Issued in NC
Practice address
301 Linville St
Morganton, NC 28655-7206
Phone
(828) 584-2481
Fax
(828) 584-8371
NPI assigned
Jun 5, 2007
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006-01695 NC Primary

Addresses

Primary practice location

301 Linville St
Morganton, NC 28655-7206

Mailing address

301 Linville St
Morganton, NC 28655-7206
Phone (828) 584-2481

Other names 1

  • Dr. Gandhari Warner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000560 NC Practitioner - Family Practice 1850420134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1208 Hickory Blvd SW
Suite 102
Lenoir, NC 28645-6461
Phone (828) 991-4660

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince May 1, 2010 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Family Medicine CurrentSince May 1, 2010 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Family Medicine Current Accepting new patients

Locations

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

301 Linville St
Morganton, NC 28655
Phone (828) 580-1400

695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278

Interoperability endpoints

  • Direct secure messaging: gloomis222052@direct.unc.nchie.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Health Blue RidgeMorganton, NC, CCN 340075 Hospital Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 4

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1689876054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LINVILLE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557206",
            "telephone_number": "828-584-2481",
            "fax_number": "828-584-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LINVILLE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557206",
            "telephone_number": "828-584-2481",
            "fax_number": "828-584-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "GANDHARI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GANDHARI",
            "last_name": "WARNER",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.