Active NPI
Jeannine Louise Gingras, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Charlotte, NC
National Provider Identifier
1861455651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 27192
- Practice address
- 6207 Park South Dr
Suite 101
Charlotte, NC 28210-3267 - Phone
- (704) 944-0562
- Fax
- (704) 944-0563
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 27192 | NC | Primary |
| Pediatric Sleep Medicine Physician | 2080S0012X | 27192 | NC |
Addresses
Primary practice location
6207 Park South Dr
Suite 101
Charlotte, NC 28210-3267
Mailing address
6207 Park South Dr
Suite 101
Charlotte, NC 28210-3267
Phone (704) 944-0562
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51322 | Other | NC | BCBS |
| N27192 | Medicaid | SC | |
| P00919755 | Other | NC | RAILROAD MEDICARE |
| 8951322 | Medicaid | NC |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000545 | NC | Practitioner - Sleep Medicine | 8426016536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27192 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Sleep Medicine Associates PA | Past | Accepting new patients |
Interoperability endpoints
- jgingras514178@direct-ehr-ssmhc.com
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 and National Provider Directory roles.
-
- Sleep Disorder Diagnostic Clinic/Center
- Charlotte, NC
- NPI 1033172960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1861455651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6207 PARK SOUTH DR",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103267",
"telephone_number": "704-944-0562",
"fax_number": "704-944-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6207 PARK SOUTH DR",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103267",
"telephone_number": "704-944-0562",
"fax_number": "704-944-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRAS",
"first_name": "JEANNINE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NC",
"license": "27192",
"primary": true
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "NC",
"license": "27192",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51322",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N27192",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00919755",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8951322",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.