Keith Ganci, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4800 Issued in NC

Practice address

501 S Sharon Amity Rd
Ste 500
Charlotte, NC 28211-2896

Phone

(704) 362-1555

NPI assigned

Oct 17, 2012

Last updated

Mar 14, 2017By the provider in NPPES

Sex

Male

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

Enrolled in NJ, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Charlotte Center for Neuropsychological Services

  • Clinical Neuropsychologist
  • Charlotte, NC
  • NPI 1588321244
  Medicare reassignment NPD Authorized official
• Community Hospital Group Inc

  dba Jri Physical Medicine

  • Specialist
  • Edison, NJ
  • NPI 1225251754
  Medicare reassignment NPD
• Community Hospital Group, Inc.

  dba New Jersey Neuroscience Institute

  • Neurology Physician
  • Edison, NJ
  • NPI 1487680013
  NPD
• Coralis Health, LLC

  • Developmental - Behavioral Pediatrics Physician
  • Clarendon Hills, IL
  • NPI 1891574927
  NPD

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1699028431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BRANDON CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111656",
            "telephone_number": "631-334-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHARON AMITY RD",
            "address_2": "STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112896",
            "telephone_number": "704-362-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCI",
        "first_name": "KEITH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "4800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margi C Gami, DPM
• Yesha Gami, O.D.
• Kacie Gamm, M.S CCC-SLP
• Lisa Gammons
• Morrighan Gammons
• Janice Gandhi, D.M.D
• Rajni B Gandhi, PHARMACIST
• Sanaya Gandhi, PA
• Shiv Dushyant Gandhi, MD
• Holly Michelle Gandolfo

• Clinical Neuropsychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.