Gam-Med PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GAM-MED PLLC

Practice address

101 Foy Dr
Rocky Mount, NC 27804-2418

Phone

(252) 443-5723

NPI assigned

Oct 22, 2021

Organization subpart

No

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

Authorized official

Name

Sheik Amat Tijan Faye, PANPI 1780152728

Title

Ceo

Phone

(857) 206-4067

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24951/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheik Amat Tijan Faye, PA

  • Physician Assistant
  • Rocky Mount, NC
  • NPI 1780152728
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1962166207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FOY DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042418",
            "telephone_number": "252-443-6440",
            "fax_number": "252-443-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOY DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042418",
            "telephone_number": "252-443-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAM-MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "FAYE",
        "authorized_official_first_name": "SHEIK",
        "authorized_official_middle_name": "AMAT TIJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-206-4067",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melynda Fuller, RN MSN BSN
• Tamala Fuller
• Tracy Hyde Futrell, OTR/L
• Suchita Bhalchandra Gade, MD
• Pridhvi Gadiraju, DDS
• Pulkit Gandhi, M.D.
• Roopali Goyal Gandhi, MD
• Ganglani Rocky Mount PLLC
• David Garrett
• Edwina B. Garrett, M.A.

• Multi-Specialty Clinic/Center in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.