Individual provider Active NPI

Lindsey Julia Gaghan, MD

  • Dermatology Physician
  • Raleigh, NC
National Provider Identifier
1720725088
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2026-02164 Issued in NC
Practice address
4201 Lake Boone TRL Ste 200
Raleigh, NC 27607-7511
Phone
(919) 772-3487
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2026-02164 NC Primary

Addresses

Primary practice location

4201 Lake Boone TRL Ste 200
Raleigh, NC 27607-7511

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

501 Health Park Dr Ste 150
Garner, NC 27529-7051
Phone (919) 772-3487

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513000238 NC Practitioner - Dermatology 8820471675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2026-02164NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dermatology, P.a. CurrentSince May 5, 2026 Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
Azalea Skin Treatment Center PA CurrentSince May 5, 2026 Accepting new patients

Locations

501 Health Park Dr
Ste 150
Garner, NC 27529
Phone (919) 772-3487

4201 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 782-2152

593 Eddy St
Providence, RI 02903

Interoperability endpoints

  • Direct secure messaging: lgaghan@direct.carene.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1720725088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-772-3487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Health Park Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275297051",
            "country_code": "US",
            "telephone_number": "919-772-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGHAN",
        "first_name": "LINDSEY",
        "middle_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2026-02164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.