Active NPI
Gordon L Mathes, MD
- Urology Physician
- Rocky Mount, NC
National Provider Identifier
1871556977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 27063
- Practice address
- 180 Foy Dr
Rocky Mount, NC 27804-2417 - Phone
- (252) 443-3136
- Fax
- (252) 443-3847
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 27063 | NC | Primary |
Addresses
Primary practice location
180 Foy Dr
Rocky Mount, NC 27804-2417
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8954719 | Medicaid | NC | |
| 208557A | Other | NC | MEDICARE UNSPECIFIED |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmathes128273@direct.UNC.nchie.net | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27063 | NC | MD | Pharmacist |
Interoperability endpoints
- gmathes128273@direct.unc.nchie.net
- gordonmathes@rockymount.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1871556977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 FOY DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042417",
"telephone_number": "252-443-3136",
"fax_number": "252-443-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHES",
"first_name": "GORDON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "27063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8954719",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UNSPECIFIED",
"identifier": "208557A",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmathes128273@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "180 Foy Dr",
"city": "Rocky Mount",
"state": "NC",
"country_code": "US",
"postal_code": "278042417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.