Individual provider Active NPI

Amy E Gonzales, PA-C

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1881831972
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01623 Issued in NC
Practice address
10 Page Dr
Pinehurst, NC 28374-8848
Phone
(910) 295-6868
Fax
(910) 295-8780
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 0010-01623 NC Primary

Addresses

Primary practice location

10 Page Dr
Pinehurst, NC 28374-8848

Mailing address

101 Dennis Dr
Sanford, NC 27330-6343
Phone (919) 267-3125

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
I20090506000191 NC Practitioner - Physician Assistant 6406904127 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-22, LLCGroup PAC ID 7315338324, 12 clinicians

Practice addresses (Care Compare)

101 Dennis Dr
Sanford, NC 27330-6343
Phone (919) 267-3125

40 Ramseur Rd
Suite 102
Pittsboro, NC 27312-1895
Phone (919) 726-4710

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-01623NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Dec 1, 2023 Accepting new patients
MCPC-22, LLC CurrentSince Dec 1, 2023 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Neurology CurrentSince Dec 1, 2023 Accepting new patients
MCPC-22, LLC CurrentSince Dec 1, 2023 Accepting new patients
Atlantic Radiology Associates PA Past Accepting new patients

Locations

251 Keisler Dr
Ste 100
Cary, NC 27518
Phone (910) 235-0595

3716 Morganton Rd
Fayetteville, NC 28303
Phone (910) 302-8026

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

295 Olmsted Blvd
Pinehurst, NC 28374
Phone (910) 375-7344

10 Page Dr
Pinehurst, NC 28374
Phone (910) 295-6868

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

295 Olmsted Blvd
Ste 12
Pinehurst, NC 28374
Phone (910) 235-0595

101 Dennis Dr
Sanford, NC 27330
Phone (910) 235-0595

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

Interoperability endpoints

  • Direct secure messaging: agonzales117089@firsthealth.direct-ci.net

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1881831972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DENNIS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306343",
            "telephone_number": "919-267-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PAGE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748848",
            "telephone_number": "910-295-6868",
            "fax_number": "910-295-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.