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LITTLE-GERALD SERVICES
NPI 1093114670
Community/Behavioral Health in Monroe, NC

Active since August 19, 2014
1112 SKYWAY DR, MONROE, NC 28110(704) 289-3831(844) 272-1223 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 9, 2021, Mar 27, 2020, Aug 15, 2019 and 3 more (6 updates tracked since 2018).

About Little-gerald Services NPPES

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

LITTLE-GERALD SERVICES (NPI 1093114670) is a healthcare organization registered as a community/behavioral health in Monroe, North Carolina and active in the NPI registry since August 2014. The organization maintains 12 additional practice locations and lists Fashenda Lashay Little-gerald, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1093114670
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLITTLE-GERALD SERVICES
Location Address1112 SKYWAY DRMonroe, NC 28110-3045
Mailing Address11012 Persimmon Creek DrMint Hill, NC 28227-6687 · (704) 577-2139
Phone(704) 289-3831
Fax(844) 272-1223
Organization SubpartNo
Authorized OfficialFashenda Lashay Little-geraldOperations Manager · (704) 577-2139
Enumeration DateAugust 19, 2014
Last NPPES UpdateOctober 21, 20246 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1093114670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1112 SKYWAY DR, Monroe, NC 28110
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Secondary Practice Locations 12

Location 1104 N Dickerson St Unit DBurgaw, NC 28425-5592 · Phone (910) 300-6416
Location 21045 S Church StBurlington, NC 27215-5045 · Phone (336) 270-6116 · Fax (844) 272-1223
Location 3120 Chadwick Ave Ste 3Hendersonville, NC 28792-4776 · Phone (704) 577-2139 · Fax (844) 272-1223
Location 4808 Harper Ave NW Ste 204Lenoir, NC 28645-5266 · Phone (828) 572-1233 · Fax (844) 350-4013
Location 51821 Skyway Dr, Suite 102Monroe, NC 28110-2857 · Phone (704) 577-2139
Location 6218 W Broad St Ste 27Statesville, NC 28677-5258 · Phone (704) 577-2139 · Fax (844) 272-1223
Location 7215 S Tradd StStatesville, NC 28677-5859 · Phone (980) 223-2547 · Fax (844) 331-5345
Location 81106 Skyway DrMonroe, NC 28110-3045 · Phone (704) 283-9055
Location 9221 S Tradd StreetStatesville, NC 28677 · Phone (980) 223-2547
Location 108025 N Point Blvd Ste 266Winston Salem, NC 27106-3859 · Phone (336) 331-3162 · Fax (844) 272-1223
Location 118025 N Point Blvd Ste 230Winston Salem, NC 27106-3288 · Phone (336) 331-3162 · Fax (844) 272-1223
Location 121918 E Roosevelt Blvd Ste HMonroe, NC 28112-4130 · Phone (980) 313-8680

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Little-gerald Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Little-Gerald Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Shkethia Young, MSW,LCSWA
Clinical Social Worker
NPI 1710231055
8619 OAK DR NE
Charlotte, NC 28269
(704) 208-0742
✔ PECOS27 mi
Jazmon Womack
Clinical Social Worker
NPI 1063933539
4229 YANCEYVILLE RD APT R
Browns Summit, NC 27214
(336) 280-9796
✔ PECOS✔ Accepts Medicare91 mi
Tamara Starr, PMHNP-BC
Nurse Practitioner
NPI 1619995982
4509 PACES FERRY DR
Durham, NC 27712
(980) 229-1944
✔ PECOS✔ Accepts Medicare119 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Little-Gerald Services's NPI number?

The NPI number for Little-Gerald Services is 1093114670. It was assigned to this organization in the NPPES registry on August 19, 2014.

Where is Little-Gerald Services located?

Little-Gerald Services is located at 1112 Skyway Dr, Monroe, NC 28110. The listed phone number is (704) 289-3831.

What is Little-Gerald Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Little-Gerald Services enrolled in Medicare?

Yes. Little-Gerald Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Little-Gerald Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Little-Gerald Services, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Little-Gerald Services was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.