NPIMap

Individual provider Active NPI

John Charles Gerancher III, MD

  • Anesthesiology Physician
  • Winston Salem, NC
National Provider Identifier
1922083898
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9500077 Issued in NC
Practice address
3331 Healy Dr
#26851
Winston Salem, NC 27103-1407
Phone
(336) 408-1036
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 9500077 NC
Anesthesiology Physician 207L00000X 9500077 NC Primary

Addresses

Primary practice location

3331 Healy Dr
#26851
Winston Salem, NC 27103-1407

Mailing address

PO Box 26851
Winston Salem, NC 27114-6851

Other identifiers 8

IdentifierTypeStateIssuer
12707OtherPARTNERS
5152060OtherAETNA
893510HMedicaidNC
1802064000MedicaidWV
3510HOtherBCBS OF NC
Q0007BMedicaidSC
5708150MedicaidVA
89600OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000166 NC Practitioner - Anesthesiology 3072658848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Perelman School of Med at the University of Pennsylvania, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Anesthesiology Consultants PLLCGroup PAC ID 7719959873, 92 clinicians
American Anesthesiology of North Carolina PLLCGroup PAC ID 2961316450, 315 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9500077NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Feb 24, 2024 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Nov 28, 2016 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Feb 24, 2024 Accepting new patients

Locations

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

4901 Dawn Dr
Ste 1100
Lumberton, NC 28360
Phone (910) 887-2361

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1922083898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26851",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271146851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 HEALY DR",
            "address_2": "#26851",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031407",
            "telephone_number": "336-408-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERANCHER",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "9500077",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9500077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "12707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5152060",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "893510H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802064000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "3510H",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0007B",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5708150",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "89600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.