GINA LICAUSE MD
NPI 1699762039
Family Medicine in Charlotte, NC

Q: What is Gina Licause's NPI number?

The NPI number for Gina Licause is 1699762039. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Gina Licause's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Licause was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2005

101 E WT HARRIS BLVD, STE 5002, CHARLOTTE, NC 28262(704) 801-7310 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2021, Sep 20, 2021, Sep 15, 2021 and 12 more (15 updates tracked since 2019).

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About Gina Licause Md NPPES

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

GINA LICAUSE MD (NPI 1699762039) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (35695) and active in the NPI registry since September 2005. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1699762039

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameGINA LICAUSECredential: MD

Location Address101 E WT HARRIS BLVD, STE 5002Charlotte, NC 28262-3485

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 801-7310

Sole ProprietorNo

Enumeration DateSeptember 30, 2005

Last NPPES UpdateSeptember 27, 202115 updates tracked since enumeration

NPPES CertifiedMay 3, 2020

✔ NPI 1699762039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 35695

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

101 E WT HARRIS BLVD, Charlotte, NC 28262

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Secondary Practice Locations 4

Location 114214 Ballantyne Lake Rd, Ste 100Charlotte, NC 28277-3372 · Phone (704) 667-2650

Location 210226 Couloak Dr, Ste 100Charlotte, NC 28216-7675 · Phone (704) 801-7380

Location 3101 E W T Harris Blvd, Ste 5401Charlotte, NC 28262-3485 · Phone (704) 863-9700

Location 4150 Professional Park Dr, Ste 400Mooresville, NC 28117-5603 · Phone (704) 801-7360

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

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented

40%20 patients2/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

90%188 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

87%45 patients4/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

100%25 patients

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

83%269 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

49%298 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

74%170 patients4/55-star benchmark: 98%

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.

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