Individual provider Active NPI

Sanaya Gandhi, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1891385548
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12155 Issued in NC
Practice address
309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886
Phone
(704) 671-1094
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4316 SC
Dermatology Physician 207N00000X 4316 SC
Medical Physician Assistant 363AM0700X 4316 SC
Physician Assistant 363A00000X 0010-12155 NC Primary

Addresses

Primary practice location

309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886

Mailing address

1072 X Ray Dr Ste B
Gastonia, NC 28054-7488
Phone (704) 671-1094

Other practice location 1

1533 Ebenezer Rd
Rock Hill, SC 29732-1806
Phone (803) 328-1831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220323001443 SC Practitioner - Physician Assistant 4082009345 Reassigns benefits to 1 organization
I20240701000073 NC Practitioner - Physician Assistant 4082009345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians

Practice addresses (Care Compare)

309 S Sharon Amity Rd
Charlotte, NC 28211-2978
Phone 7046711094101

959 Cox Rd
Gastonia, NC 28054-3420
Phone (704) 866-0106

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
91.92
Promoting interoperability
94
Improvement activities
40
Cost
78.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4316SCMDSpeech-Language Pathologist
0010-12155NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: sghandi@piedmontderm.emadirect.md

Organizations & group practices 2

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1891385548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 X RAY DR STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547488",
            "telephone_number": "704-671-1094",
            "fax_number": "704-671-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112886",
            "telephone_number": "704-671-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1533 Ebenezer Rd",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321806",
            "country_code": "US",
            "telephone_number": "803-328-1831",
            "fax_number": "803-324-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SANAYA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "4316",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "4316",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "4316",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.