CHRYSTAL GAMMON (NPI# 1073165148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073165148 |
| Entity Type | Individual |
| Full Name | CHRYSTAL GAMMON |
| Credential | NP |
| Practice Address |
1015 Rockford St Ste 200 Mount Airy NC 27030-5026 |
| Mailing Address |
Po Box 45 Sedalia NC 27342-0045 |
| Practice Telephone | 8283480760 |
| Mailing Telephone | 4344292383 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
5012088 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5012088 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024177827 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 107 Wade St, Jamestown, NC 272829567 | 4344292383 | |
| 1201 Carolina St, Greensboro, NC 274011303 | 4344292383 | |
| 401 Lambert Rd, Biscoe, NC 272099002 | 4344292383 | |
| 485 Veterans Way, Kernersville, NC 272849903 | 4344292383 | |
| 5261 Carrollton Pike Ste E, Woodlawn, VA 243813034 | 4344292383 |
| Street Address |
1015 ROCKFORD ST STE 200 |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248120 | Rachel Lynn Hauptman | Nurse Practitioner | 2945 Lonesome Dove Rd, Mount Airy, MD 21771-8025 | 2020-09-08 |
| 1447891163 | Roy Williams | Nurse Practitioner | 956 N Main St, Mount Airy, NC 27030-3747 | 2019-10-03 |
| 1487619896 | Rochelle P Dyer | Nurse Practitioner | 1502 S Main St Ste 206, Mount Airy, MD 21771-5363 | 2006-04-19 |
| 1245707272 | Lindsay Erdmann | Nurse Practitioner | 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 | 2018-10-29 |
| 1992271209 | Wendi Cheryl Helsabeck | Nurse Practitioner | 905 Rockford St, Mount Airy, NC 27030-5323 | 2018-10-15 |
| 1346715695 | Virginia Clement Meadows | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2018-10-12 |
| 1730687476 | Daniel Dean Watson | Nurse Practitioner | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2018-01-29 |
| 1508386889 | Kelley Manuel | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2017-06-27 |
| 1659753671 | Angel Luis Cartagena Jr. | Nurse Practitioner | 830 Rockford St, Mount Airy, NC 27030-5322 | 2015-06-25 |
| 1932580248 | Kelly C Key | Nurse Practitioner | 905 Rockford St, Mount Airy, NC 27030-5323 | 2015-06-11 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on CHRYSTAL GAMMON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.