Active NPI
Sanaya Gandhi, PA
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1891385548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12155
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4316 | SC | MD | Speech-Language Pathologist |
| 0010-12155 | NC | MD | Physician Assistant |
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Gastonia, NC
- NPI 1801832837
-
- Dermatology Physician
- Rock Hill, SC
- NPI 1447420070
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.