Carolina Spine, Pain and Rehabilitation PLLC
NPI 1134185184ActiveOrganization· Physical Medicine & Rehabilitation· Gastonia, NC
Physical Medicine & Rehabilitation in Gastonia, North Carolina, registered in NPPES in April 2006. The authorized official on file is Herman Clark Gore, MD, Ceo. Enrolled in Medicare as dme supplier - physician - physical and rehabilitation and part b supplier - clinic/group practice.
Overview
| NPI | 1134185184 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2006 |
| Last updated in NPPES | Dec 7, 2022 |
| Certified by provider | Dec 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Physical and Rehabilitation (NC); Part B Supplier - Clinic/Group Practice (NC) |
|---|
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