Individual provider Active NPI

Marcus Eugene Gentry, DO

  • Emergency Medicine Physician
  • Asheboro, NC
National Provider Identifier
1891987194
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2008-00323 Issued in NC
Practice address
364 White Oak St
Asheboro, NC 27203-5434
Phone
(336) 629-8807
NPI assigned
Aug 10, 2007
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36116439 IL
Emergency Medicine Physician 207P00000X 2008-00323 NC Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 200800323 NC

Addresses

Primary practice location

364 White Oak St
Asheboro, NC 27203-5434

Mailing address

853 Wellington PL
Asheboro, NC 27205-2132
Phone (336) 301-3240

Other practice location 1

221 Mill Stream Dr
Bolingbrook, IL 60440-2715
Phone (630) 362-9595

Other identifiers 2

IdentifierTypeStateIssuer
36116439OtherILIL STATE MEDICAL LICENSE
2008-00323OtherNCNC STATE MEDICAL LICENSE

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
I20081006000651 NC Practitioner - Emergency Medicine 3971696683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians
Vital Health Partners LLCGroup PAC ID 5092205732, 74 clinicians

Practice addresses (Care Compare)

237 N Fayetteville St
Suite a
Asheboro, NC 27203-5573
Phone (336) 625-3248

364 White Oak St
Asheboro, NC 27203-5434
Phone (786) 985-3895

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36116439ILMDEmergency Medicine Physician
2008-00323NCMDEmergency Medicine Physician
200800323NCMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Partners LLC CurrentSince Sep 1, 2025 Accepting new patients
American Healthcare Systems, LLC Current Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 31, 2023 Accepting new patients
American Healthcare Systems, LLC Emergency Medicine CurrentSince Oct 31, 2023 Accepting new patients
Asheboro Emergency Physicians PA Emergency Medicine CurrentSince Jul 10, 2008 Accepting new patients
American Healthcare Systems, LLC Past Accepting new patients

Locations

6600 Cow Pen Rd
Ste 205
Miami Lakes, FL 33014
Phone (786) 292-0301

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1891987194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 WELLINGTON PL",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272052132",
            "telephone_number": "336-301-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035434",
            "telephone_number": "336-629-8807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mill Stream Dr",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604402715",
            "country_code": "US",
            "telephone_number": "630-362-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "MARCUS",
        "middle_name": "EUGENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36116439",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2008-00323",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NC",
            "license": "200800323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE MEDICAL LICENSE",
            "identifier": "36116439",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE MEDICAL LICENSE",
            "identifier": "2008-00323",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.