Individual provider Active NPI

Gayle Ryan Harris, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1730112889
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101865 Issued in NC
Practice address
7316 Wallace Rd Ste B
Charlotte, NC 28212-6034
Phone
(704) 776-0489
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101865 NC Primary

Addresses

Primary practice location

7316 Wallace Rd Ste B
Charlotte, NC 28212-6034

Mailing address

7316 Wallace Rd Ste B
Charlotte, NC 28212-6034
Phone (704) 776-0489

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20080620000540 NC Practitioner - Physician Assistant 8224109053 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Salem Towne CT
Apex, NC 27502-2311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Complexcare Medical Group Midwest M PLLC Physician Assistant CurrentSince Aug 8, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 30, 2011 Accepting new patients
Doctors Plus Family Medicine, PLLC Current Accepting new patients
Theoria Medical Physician Assistant CurrentSince May 5, 2025 Accepting new patients
Level Two Services PLLC Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 30, 2011 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

231 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 304-6400

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

1090 NE Gateway Ct NE
Ste 202
Concord, NC 28025
Phone (704) 403-9050

205 Branchview Dr NE
Concord, NC 28025
Phone (704) 440-4689

12905 Rosedale Hill Ave
Huntersville, NC 28078
Phone (704) 801-1000

16455 Statesville Rd
Ste 100
Huntersville, NC 28078
Phone (704) 801-1701

515 S Generals Blvd
Lincolnton, NC 28092
Phone (704) 733-8065

332 Sam Newell Rd
Ste 1100
Matthews, NC 28105
Phone (704) 512-6850

332 N Trade St
#1100
Matthews, NC 28105
Phone (704) 512-6850

10545 Blair Rd
Ste 1200
Mint Hill, NC 28227
Phone (704) 667-2650

10506 Clear Creek Commerce Dr
Mint Hill, NC 28227
Phone (704) 545-2377

12016 Lemmond Farm Dr
#100
Mint Hill, NC 28227
Phone (704) 863-9600

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: gharris130829@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1730112889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 WALLACE RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126034",
            "telephone_number": "704-776-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 WALLACE RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126034",
            "telephone_number": "704-776-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GAYLE",
        "middle_name": "RYAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.