Gina McCall Ashman, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bahama, NC
NPI 1699558114 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1699558114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5018643 (NC)
- Practice address
- 908 Orange Factory Rd
Bahama, NC 27503-9182 - Phone
- (919) 672-3360
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241212000153 | NC | Practitioner - Nurse Practitioner | 5193251239 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018643 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trucore Laboratories, LLC | Current |
Accepting new patients | |
| Trupoint Wellness | Single Specialty | Current |
Accepting new patients |
Locations
920 Blairhill Rd
Ste B114
Charlotte, NC 28217
Phone (704) 840-6088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5018643 | NC | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 5018643 | NC | Yes |
Addresses
Primary practice location
908 Orange Factory Rd
Bahama, NC 27503-9182
Mailing address
908 Orange Factory Rd
Bahama, NC 27503-9182
Phone (919) 672-3360
Other practice location 1
920 Blairhill Rd Ste B114
Charlotte, NC 28217-1565
Phone (704) 840-6088
Other providers in Bahama, NC
- A Couples Place, Inc
- Jennifer Eve Bachman
- Concierge Physical Therapy LLC
- Discovery Charter School
- Melissa Flintom
- Kristy Renee Gary
All providers in Bahama, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.