Alexa C Gaters, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06166 Issued in NC

Practice address

4909 Waters Edge Dr Ste 100
Raleigh, NC 27606-2462

Phone

(919) 589-1204

Fax

(919) 589-1264

NPI assigned

Jan 11, 2016

Last updated

May 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

75.66

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Raleigh Wellness Behavioral Health

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1003556473
  Medicare reassignment NPD
• Wake Emergency Physicians PA

  dba RelyMD

  • Emergency Medicine Physician
  • Cary, NC
  • NPI 1265923205
  NPD (past)

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1730545500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062462",
            "telephone_number": "919-589-1204",
            "fax_number": "919-589-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062462",
            "telephone_number": "919-589-1204",
            "fax_number": "919-589-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATERS",
        "first_name": "ALEXA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gaskins
• Taja Keyara Gaskins, LMT
• Maria Estela Gaston, LCSW-A
• Gastrointestinal Healthcare PA
• Gastrointestinal Healthcare PA
• Robbie Dean Gates, PT, DPT, CSCS
• Gateway Community Initiative, Inc
• Tammia Antoinette Gatlin, LPN
• Brittney Latavia Gatling
• Destiny Kyara Lashae Gattis, RBT

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.