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CHELSEA GOUGH
NPI 1124477377
Physician Assistant in Charlotte, NC

Active since June 08, 2016
340 JAKE ALEXANDER BLVD. WEST, SUITE 105, CHARLOTTE, NC 28203(704) 403-6240 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2017, Aug 9, 2016 (2 updates tracked since 2016).

About Chelsea Gough NPPES

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

CHELSEA GOUGH (NPI 1124477377) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-06438) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1124477377
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHELSEA GOUGH
Location Address340 JAKE ALEXANDER BLVD. WEST, SUITE 105Charlotte, NC 28203-5812
Mailing AddressPo Box 602478Charlotte, NC 28260-2478 · (704) 403-6240
Phone(704) 403-6240
Sole ProprietorYes
Enumeration DateJune 8, 2016
Last NPPES UpdateFebruary 27, 20172 updates tracked since enumeration
✔ NPI 1124477377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-06438
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
340 JAKE ALEXANDER BLVD. WEST, Charlotte, NC 28203
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Other Identifiers 7

Medicare PINNCU919ANC
Medicare PINNCU919BNC
Medicaid1124477377NC
Medicare PINNCU919CNC
Medicaid2745PASC
Medicare PINNCU919ENC
Medicare PINNCU919DNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%29 patients5/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
39%1,275 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,268 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%765 patients4/55-star benchmark: 95%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%252 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%151 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Chelsea Gough's NPI number?

The NPI number for Chelsea Gough is 1124477377. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Chelsea Gough located?

Chelsea Gough practices at 340 Jake Alexander Blvd. West Suite 105, Charlotte, NC 28203. The listed phone number is (704) 403-6240.

What is Chelsea Gough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Chelsea Gough accept?

Health plans from UnitedHealthcare list Chelsea Gough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chelsea Gough was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.