Omobola Denise Gold, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06578 Issued in TX

Practice address

7780 Brier Creek Pkwy
200
Raleigh, NC 27617-7849

Phone

(919) 596-3400

Fax

(919) 596-3499

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

No

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 NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brier Creek Integrated Pain and Spine PLLCGroup PAC ID 9133214539, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brier Creek Integrated Pain & Spine PLLC

  • Medical Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1538352760
  Medicare reassignment Care Compare group
• JKM Community Services, PLLC

  • Community/Behavioral Health Agency
  • Lillington, NC
  • NPI 1720451784
  NPD (past)

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

• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1699081315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 OGILVY CT",
            "address_2": "103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276107615",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY",
            "address_2": "200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177849",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "OMOBOLA",
        "middle_name": "DENISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Gold, P.A.
• Brian M Gold, CPO
• Denise Nolty Gold
• Miriam Sue Gold, LCSW
• Natreonna Gold
• Mason Robert Goldbach, DPT
• Katherine Goldbaum
• Ross Goldbaum, PA-C
• Michelle Goldberg Lerner, PSY.D.
• Elyse Goldberg, ANP-C

• Medical Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.