Individual provider Active NPI

Mai-Gao Xiong, PA

  • Physician Assistant
  • Wingate, NC
National Provider Identifier
1699405811
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13164 Issued in NC
Practice address
220 N Camden Rd
Wingate, NC 28174-9644
Phone
(800) 755-5550
NPI assigned
Jun 11, 2022
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13164 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

220 N Camden Rd
Wingate, NC 28174-9644

Mailing address

220 N Camden Rd
Wingate, NC 28174-9644
Phone (828) 260-4036

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230728000296 NC Practitioner - Physician Assistant 7315308061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578

2293 Sugar Hill Rd
D
Marion, NC 28752-7787
Phone (828) 652-8727

314 Blowing Rock Blvd
Lenoir, NC 28645-4406
Phone (828) 237-2287

955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-13164NCMDPhysician Assistant

Organizations & group practices 2

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 1

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": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1699405811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N CAMDEN RD",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281749644",
            "telephone_number": "828-260-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N CAMDEN RD",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281749644",
            "telephone_number": "800-755-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "MAI-GAO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13164",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wingate, NC

Sources for this page

Verify at the official NPI Registry.