GINA LICAUSE MD
NPI 1699762039
Family Medicine in Charlotte, NC

NPI Status: Active since September 30, 2005

Contact Information

101 E WT HARRIS BLVD
STE 5002
CHARLOTTE, NC
ZIP 28262
Phone: (704) 801-7310

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  • Individual
  • Female
  • Family Medicine
  • Medicare Quality Reporting

About GINA LICAUSE

This page provides the complete NPI Profile along with additional information for Gina Licause, a primary care provider established in Charlotte, North Carolina with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1699762039 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 35695 (NC). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1699762039
Provider Name
GINA LICAUSE MD
Gender
Female
Entity Type
Individual
Location Address
101 E WT HARRIS BLVD STE 5002 CHARLOTTE, NC 28262
Location Phone
(704) 801-7310
Mailing Address
PO BOX 19305 CHARLOTTE, NC 28219
Is Sole Proprietor?
No
Enumeration Date
09-30-2005
Last Update Date
09-27-2021
Code Navigator

A primary care provider (PCP) like Gina Licause sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 10226 Couloak Dr Ste 100
    Charlotte, NC 28216
    (704) 801-7380
  • 14214 Ballantyne Lake Rd Ste 100
    Charlotte, NC 28277
    (704) 667-2650
  • 150 Professional Park Dr Ste 400
    Mooresville, NC 28117
    (704) 801-7360
  • 101 E W T Harris Blvd Ste 5401
    Charlotte, NC 28262
    (704) 863-9700

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
35695
License State
NC
Taxonomy Description
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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation 40% 20
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
Colorectal Cancer Screening 90% 188
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 87% 45
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
Pneumococcal Vaccination Status for Older Adults 83% 269
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 49% 298
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Screening for Osteoporosis for Women Aged 65-85 Years of Age 74% 170
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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699762039, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 1 + 4 + 6 + 4 + 0 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1699762039.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
101 E WT HARRIS BLVD, SUITE 5002
CHARLOTTE, NC 28262
Urology
101 E WT HARRIS BLVD, STE 5202
CHARLOTTE, NC 28262
Family Medicine
101 E WT HARRIS BLVD, BUILDING 3000, SUITE 3301
CHARLOTTE, NC 28262
Physical Therapist
101 E WT HARRIS BLVD, SUITE 300
CHARLOTTE, NC 28262
Occupational Therapist
101 E WT HARRIS BLVD, SUITE 300
CHARLOTTE, NC 28262
Physical Therapist
101 E WT HARRIS BLVD
CHARLOTTE, NC 28262
Speech-Language Pathologist
101 E WT HARRIS BLVD, SUITE 300
CHARLOTTE, NC 28262
Physical Therapist
101 E WT HARRIS BLVD, CUITE 300
CHARLOTTE, NC 28262
Physical Therapist
101 E WT HARRIS BLVD, SUITE 300
CHARLOTTE, NC 28262
Occupational Therapist
101 E WT HARRIS BLVD, SUITE 300
CHARLOTTE, NC 28262
Physical Therapist
101 E WT HARRIS BLVD, CUITE 300
CHARLOTTE, NC 28262
Obstetrics & Gynecology
101 E WT HARRIS BLVD, SUITE 2320
CHARLOTTE, NC 28262
Physical Therapist
101 E WT HARRIS BLVD, SUITE 5304
CHARLOTTE, NC 28262
Orthopaedic Surgery
101 E WT HARRIS BLVD, SUITE 1110
CHARLOTTE, NC 28262
Internal Medicine (Rheumatology)
101 E WT HARRIS BLVD, BLDG 3000, SUITE 3301-G
CHARLOTTE, NC 28262
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 E WT HARRIS BLVD, BLDG 3000, SUITE 3301-F
CHARLOTTE, NC 28262
Family Medicine
101 E WT HARRIS BLVD, SUITE 5002
CHARLOTTE, NC 28262
Dietitian, Registered
101 E WT HARRIS BLVD, SUITE 2122B
CHARLOTTE, NC 28262
Physician Assistant (Medical)
101 E WT HARRIS BLVD, SUITE 5202
CHARLOTTE, NC 28262
Surgery
101 E WT HARRIS BLVD, SUITE 5103
CHARLOTTE, NC 28262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699762039, enumerated as an "individual" on September 30, 2005.

The provider is located at 101 E WT HARRIS BLVD STE 5002 CHARLOTTE, NC 28262 and the phone number is (704) 801-7310.

Family Medicine with taxonomy code 207Q00000X.