Individual provider Active NPI

Randall David Gehle, DO

  • Family Medicine Physician
  • McAdenville, NC
National Provider Identifier
1942296355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
96-00920 Issued in NC
Practice address
105 Elm Street
McAdenville, NC 28101-0490
Phone
(704) 824-5323
Fax
(704) 824-5410
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

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
I20100304001039 NC Practitioner - Family Practice 2769424761 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-00920NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Family Medicine CurrentSince Aug 19, 1996 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Aug 19, 1996 Accepting new patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients

Locations

600 W Trade St
Dallas, NC 28034
Phone (980) 834-9130

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2544 Court Dr
Ste A
Gastonia, NC 28054
Phone (704) 671-6400

1895 Hoffman Rd
#A
Gastonia, NC 28054
Phone (704) 865-1749

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 96-00920 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

105 Elm Street
McAdenville, NC 28101-0490

Mailing address

105 Elm Street
PO Box 490
McAdenville, NC 28101-0490
Phone (704) 824-5323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942296355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ELM STREET",
            "address_2": "PO BOX 490",
            "city": "MCADENVILLE",
            "state": "NC",
            "postal_code": "281010490",
            "telephone_number": "704-824-5323",
            "fax_number": "704-824-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ELM STREET",
            "city": "MCADENVILLE",
            "state": "NC",
            "postal_code": "281010490",
            "telephone_number": "704-824-5323",
            "fax_number": "704-824-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHLE",
        "first_name": "RANDALL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "96-00920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAdenville, NC

Sources for this page

Verify at the official NPI Registry.