MIN GONG NP
NPI 1689464141
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Q: What is Min Gong's NPI number?

The NPI number for Min Gong is 1689464141. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Q: What is Min Gong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Min Gong was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 08, 2025PECOS Enrolled

2905 QUEEN CITY DR, CHARLOTTE, NC 28208(706) 589-7417 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Min Gong Np NPPES

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

MIN GONG NP (NPI 1689464141) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5022887) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689464141

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMIN GONGCredential: NP

Location Address2905 QUEEN CITY DRCharlotte, NC 28208-2756

Mailing Address2905 Queen City DrCharlotte, NC 28208-2756 · (706) 589-7417

Phone(706) 589-7417

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 8, 2025

Last NPPES UpdateOctober 2, 2025

NPPES CertifiedOctober 2, 2025

✔ NPI 1689464141 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 · 5022887

2905 QUEEN CITY DR, Charlotte, NC 28208

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Min Gong Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294215570

PECOS Enrollment IDI20260216003194

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 28208 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.

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 Min Gong's NPI number?

The NPI number for Min Gong is 1689464141. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Min Gong located?

Min Gong practices at 2905 Queen City Dr, Charlotte, NC 28208. The listed phone number is (706) 589-7417.

What is Min Gong's specialty?

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

Is Min Gong enrolled in Medicare?

Yes. Min Gong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Min Gong was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.