MR. MICHAEL GOUGH PA-C
NPI 1396722286
Physician Assistant - Medical in Greenville, NC

Active since December 30, 2005
1800 W 5TH ST, SUITES 2 & 4, GREENVILLE, NC 27834(252) 744-2207(252) 744-3987 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Gough Pa-c NPPES

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

MR. MICHAEL GOUGH PA-C (NPI 1396722286) is an individual medical provider in Greenville, North Carolina, licensed in North Carolina (102470) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1396722286
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL GOUGHCredential: PA-C
Location Address1800 W 5TH ST, SUITES 2 & 4Greenville, NC 27834-2888
Mailing AddressPo Box 751069Charlotte, NC 28275-1069 · (252) 744-3253 · Fax (252) 744-3194
Fax(252) 744-3987
Sole ProprietorNo
Enumeration DateDecember 30, 2005
Last NPPES UpdateApril 19, 2010
NPI 1396722286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 102470
1800 W 5TH ST, Greenville, NC 27834

Other Identifiers 3

Other970012691NC · Rr Medicare
Medicare ID-Type Unspecified2750789NC
Medicare UPINS74403NC

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Gastroenterology)
1800 W 5TH ST, SUITE 5
GREENVILLE, NC 27834
Pediatrics
1800 W 5TH ST, SUITE 8
GREENVILLE, NC 27834
Internal Medicine (Pulmonary Disease)
1800 W 5TH ST, SUITE 5
GREENVILLE, NC 27834
Anesthesiology
1800 W 5TH ST, SUITE 5
GREENVILLE, NC 27834

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 Michael Gough's NPI number?

The NPI number for Michael Gough is 1396722286. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Michael Gough located?

Michael Gough practices at 1800 W 5th St Suites 2 & 4, Greenville, NC 27834. The listed phone number is (252) 744-2207.

What is Michael Gough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Gough was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.