Individual provider Active NPI

Gerianee Octavia Ward

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1841151172
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-16150 Issued in NC
Practice address
3801 Barrett Dr
Raleigh, NC 27609-7224
Phone
(919) 870-8409
Fax
(877) 622-8953
NPI assigned
Nov 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 0010-16150 NC Primary

Addresses

Primary practice location

3801 Barrett Dr
Raleigh, NC 27609-7224

Mailing address

3801 Barrett Dr
Raleigh, NC 27609-7224
Phone (919) 870-8409

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
I20260320003608 NC Practitioner - Physician Assistant 5395229967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mona R Gupta DO IncorporatedGroup PAC ID 8628386174, 24 clinicians

Practice addresses (Care Compare)

8304 Creedmoor Rd
Raleigh, NC 27613-1697
Phone (919) 870-8409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-16150NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mona R Gupta, DO Incorporated CurrentSince Mar 13, 2026 Accepting new patients
Mona R Gupta, DO Incorporated CurrentSince Mar 13, 2026 Accepting new patients

Locations

8304 Creedmoor Rd
Raleigh, NC 27613
Phone (919) 870-7645

3801 Barrett Dr
Raleigh, NC 27609
Phone (703) 999-4182

12316 Hampton Way Dr
Ste 101
Wake Forest, NC 27587

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1841151172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GERIANEE",
        "middle_name": "OCTAVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.