Eboni Gadson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14969 Issued in NC

Practice address

2815 Cates Ave
Raleigh, NC 27695-6760

Phone

(919) 515-7555

NPI assigned

Jan 29, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• North Carolina State University

  • Student Health Clinic/Center
  • Raleigh, NC
  • NPI 1881712842
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1730941204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE CAMPUS BOX 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276956760",
            "telephone_number": "919-515-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADSON",
        "first_name": "EBONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edwin Gaddy Jr., M.D.
• Anna M Gaddy
• Autumn Gaddy
• Veenadhari Gadepalli, PHARMD
• Togor Gado
• Sandra Carina Gaemmerler, RD/LDN
• Margaret C Gaenzle, MS, PT
• Steven David Gage, MA
• Lindsey Julia Gaghan, MD
• Michael Gagliano

• 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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.