Individual provider Active NPI

John F Gage, MD

  • Family Medicine Physician
  • Seagrove, NC
National Provider Identifier
1750368221
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9501245 Issued in NC
Practice address
514 N Broad St
Seagrove, NC 27341-8583
Phone
(336) 873-8045
Fax
(336) 873-9074
NPI assigned
Dec 27, 2005
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9501245 NC Primary

Addresses

Primary practice location

514 N Broad St
Seagrove, NC 27341-8583

Mailing address

218 Foust St
Ste C
Asheboro, NC 27203-5476
Phone (336) 625-2333

Other identifiers 1

IdentifierTypeStateIssuer
8934259MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Specialty Group Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: johngage@rma.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1750368221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FOUST ST",
            "address_2": "STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035476",
            "telephone_number": "336-625-2333",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N BROAD ST",
            "city": "SEAGROVE",
            "state": "NC",
            "postal_code": "273418583",
            "telephone_number": "336-873-8045",
            "fax_number": "336-873-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seagrove, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.