MR. ERNEST ALONZA GORHAM APRN, PMHNP-BC
NPI 1063378008
Nurse Practitioner - Psychiatric/Mental Health in Rocky Mount, NC

Active since January 03, 2026PECOS EnrolledAccepts Medicare Assignment
809 TIFFANY BLVD, ROCKY MOUNT, NC 27804(866) 272-7826 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ernest Alonza Gorham Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ERNEST ALONZA GORHAM APRN, PMHNP-BC (NPI 1063378008) is an individual psychiatric/mental health provider in Rocky Mount, North Carolina, licensed in North Carolina (298192) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063378008
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ERNEST ALONZA GORHAMCredential: APRN, PMHNP-BC
Location Address809 TIFFANY BLVDRocky Mount, NC 27804-1812
Mailing Address3341 Nc Highway 33 WGreenville, NC 27834-9346
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 3, 2026
NPPES CertifiedJanuary 3, 2026
NPI 1063378008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 298192
809 TIFFANY BLVD, Rocky Mount, NC 27804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ernest Alonza Gorham Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537642475
PECOS Enrollment IDI20260310002054
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
809 TIFFANY BLVD
ROCKY MOUNT, NC 27804
Nurse Practitioner (Psychiatric/Mental Health)
809 TIFFANY BLVD
ROCKY MOUNT, NC 27804
Nurse Practitioner (Psychiatric/Mental Health)
809 TIFFANY BLVD
ROCKY MOUNT, NC 27804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ernest Gorham's NPI number?

The NPI number for Ernest Gorham is 1063378008. It was assigned to this individual provider in the NPPES registry on January 3, 2026.

Where is Ernest Gorham located?

Ernest Gorham practices at 809 Tiffany Blvd, Rocky Mount, NC 27804. The listed phone number is (866) 272-7826.

What is Ernest Gorham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ernest Gorham enrolled in Medicare?

Yes. Ernest Gorham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ernest Gorham was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.