Individual provider Active NPI

John Stuart Gaul III, MD

  • Orthopaedic Hand Surgery Physician
  • Charlotte, NC
National Provider Identifier
1902888902
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
28412 Issued in NC
Practice address
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone
(704) 323-2000
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 28412 NC Primary
Orthopaedic Surgery Physician 207X00000X 28412 NC

Addresses

Primary practice location

1915 Randolph Rd
Charlotte, NC 28207-1101

Mailing address

4601 Park Rd
Ste 300
Charlotte, NC 28209-3239
Phone (704) 323-2000

Other identifiers 2

IdentifierTypeStateIssuer
8934974MedicaidNC
N28412MedicaidSC

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
I20040110000119 NC Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4981504560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Feb 16, 2012 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jan 1, 1992 Accepting new patients
Carolinas Medical Center CurrentSince Feb 16, 2012 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jan 1, 1992 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA - Bundle Payment Program Level 5 Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

Organizations & group practices 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1902888902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-323-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071101",
            "telephone_number": "704-323-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUL",
        "first_name": "JOHN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NC",
            "license": "28412",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "28412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934974",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N28412",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.