Active NPI
Chris Gulley
- Adult Companion
- Wilmington, NC
National Provider Identifier
1790181345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- HC4464
- Practice address
- 1900 Eastwood Rd
Suite 15
Wilmington, NC 28403-7204 - Phone
- (910) 208-4079
- NPI assigned
- Nov 10, 2014
- Last updated
- Nov 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | HC4464 | NC | Primary |
Addresses
Primary practice location
1900 Eastwood Rd
Suite 15
Wilmington, NC 28403-7204
Mailing address
1900 Eastwood Rd
Suite 15
Wilmington, NC 28403-7204
Phone (910) 208-4079
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC4464 | NC | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sme Ventures Inc | Current | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Wilmington, NC
- NPI 1821727363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1790181345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 EASTWOOD RD",
"address_2": "SUITE 15",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037204",
"telephone_number": "910-208-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 EASTWOOD RD",
"address_2": "SUITE 15",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037204",
"telephone_number": "910-208-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEY",
"first_name": "CHRIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "HC4464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.