Individual provider Active NPI

Marilyn Martin Gamewell, FNP-C

  • Family Nurse Practitioner
  • Jefferson, NC
National Provider Identifier
1881684447
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201218 Issued in NC
Practice address
310 Hospital Avenue
Jefferson, NC 28640-9244
Phone
(336) 846-6322
NPI assigned
Oct 25, 2005
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201218 NC Primary

Addresses

Primary practice location

310 Hospital Avenue
Jefferson, NC 28640-9244

Mailing address

310 Hospital Ave.
Jefferson, NC 28640
Phone (336) 846-6322

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
I20040315001573 NC Practitioner - Nurse Practitioner 9830089820 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

5641 S Hwy 41
Wallace, NC 28466
Phone (910) 828-1131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201218NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jun 1, 2007 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jun 1, 2007 Accepting new patients
Alleghany County Memorial Hospital Inc CurrentSince Nov 1, 2023 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince May 14, 2024 Accepting new patients
Yadkin Emergency Physicians, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince May 14, 2024 Accepting new patients
Jefferson Emergency Services, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Cardiology Physicians Corporation, LLC PastSince Jun 9, 2024 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

322 Mulberry St SW
Ste A
Lenoir, NC 28645
Phone (828) 757-6400

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

650 Highland Ave
Ste 120
Winston Salem, NC 27101
Phone (336) 713-6111

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: marilyn.gamewell.1@14562.direct.athenahealth.com
  • Direct secure messaging: mgamewell2792515@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1881684447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL AVE.",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "28640",
            "telephone_number": "336-846-6322",
            "fax_number": "336-846-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL AVENUE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEWELL",
        "first_name": "MARILYN",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

Verify at the official NPI Registry.