Individual provider Active NPI

Charles J. Gainor, MD

  • Family Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1881648186
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29268 Issued in NC
Practice address
5093 University Pkwy
Winston Salem, NC 27106-6085
Phone
(336) 883-0029
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 29268 NC
Family Medicine Physician 207Q00000X 29268 NC Primary

Addresses

Primary practice location

5093 University Pkwy
Winston Salem, NC 27106-6085

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

Other practice location 1

1103 W D St
North Wilkesboro, NC 28659-4141
Phone (336) 883-0029

Other practice location 2

1908 Caudle Dr Ste 105
Mount Airy, NC 27030-4322
Phone (336) 883-0029

Other identifiers 2

IdentifierTypeStateIssuer
8934318MedicaidNC
34324OtherNCBLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000787 NC Practitioner - Family PracticePractitioner - Emergency Medicine 4486616646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

1103 W D St
North Wilkesboro, NC 28659-4141
Phone (336) 883-0029

3604 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3605 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3610 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

495 Arbor Hill Rd
Kernersville, NC 27284-3335
Phone (336) 883-0029

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29268NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center Family Medicine Current Accepting new patients
Bethany Medical Center, PA Family Medicine CurrentSince Apr 20, 2023 Accepting new patients
Bethany Medical Center CurrentSince Apr 20, 2023 Accepting new patients
Bethany Medical Center, PA Past Accepting new patients
Bethany Medical Center Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Vance Emergency Physicians Emergency Medicine Past Accepting new patients
Bethany Medical Center Family Medicine Past Accepting new patients

Locations

3801 W Market St
Greensboro, NC 27407
Phone (336) 852-3300

3402 Battleground Ave
Greensboro, NC 27410
Phone (336) 545-1515

507 N Lindsay St
High Point, NC 27262

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

1580 Skeet Club Rd
High Point, NC 27265
Phone 336883002912268

3610 Peters Ct
High Point, NC 27265

2805 S Main St
High Point, NC 27263
Phone (336) 431-1149

819 N Main St
Ste 112
High Point, NC 27262
Phone (336) 289-2299

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

108 W Main St
Ste E
Jamestown, NC 27282

495 Arbor Hill Rd
Ste R
Kernersville, NC 27284

975 NC Highway 66 S
Kernersville, NC 27284

1908 Caudle Dr
Ste 105
Mount Airy, NC 27030

1103 W D St
North Wilkesboro, NC 28659
Phone (336) 990-0595

1103 W D St
Ste B
North Wilkesboro, NC 28659

160 Kimel Forest Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 714-6400

5093 University Pkwy
Winston Salem, NC 27106

Interoperability endpoints

  • Direct secure messaging: charlesgainor@bethanymed.allscriptsdirect.net

Organizations & group practices 9

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1881648186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5093 UNIVERSITY PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066085",
            "telephone_number": "336-883-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 W D St",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286594141",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 Caudle Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270304322",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINOR",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "29268",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934318",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "34324",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.