Individual provider Active NPI

Ashley Hussey Gaddy, NP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1720658255
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014890 Issued in NC
Practice address
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone
(336) 277-2000
Fax
(336) 277-2050
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GADD-JIR1B NC
Nurse Practitioner 363L00000X 5014890 NC Primary

Addresses

Primary practice location

186 Kimel Park Dr
Winston Salem, NC 27103-6946

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-2000

Other practice location 1

132 W Miller St
Asheboro, NC 27203-4774
Phone (336) 521-4928

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
I20220316003290 NC Practitioner - Nurse Practitioner 4880089531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians

Practice addresses (Care Compare)

373 N Fayetteville St
Asheboro, NC 27203-5507
Phone (336) 626-3205

Hospital & facility affiliations

  • Randolph Hospital Hospital, Asheboro, NC, CCN 340123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5014890NCMDNurse Practitioner
GADD-JIR1BNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
American Healthcare Systems, LLC CurrentSince Nov 8, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
American Healthcare Systems, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
American Healthcare Systems, LLC Past Accepting new patients

Locations

700 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-0305

132 W Miller St
Ste C
Asheboro, NC 27203
Phone (336) 521-4928

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

373 N Fayetteville St
Asheboro, NC 27203
Phone (336) 626-0033

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

Organizations & group practices 6

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.

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1720658255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 W Miller St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272034774",
            "country_code": "US",
            "telephone_number": "336-521-4928",
            "fax_number": "336-521-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDY",
        "first_name": "ASHLEY",
        "middle_name": "HUSSEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "GADD-JIR1B",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.