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MICHAEL GULLEDGE PA
NPI 1780607374
Physician Assistant in Huntersville, NC

Active since July 25, 2006PECOS Enrolled
12905 ROSEDALE HILL AVE, HUNTERSVILLE, NC 28078(704) 801-1000 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2019, Dec 6, 2019, Nov 22, 2019 and 23 more (26 updates tracked since 2016).

About Michael Gulledge Pa NPPES

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

MICHAEL GULLEDGE PA (NPI 1780607374) is an individual physician assistant in Huntersville, North Carolina, licensed in North Carolina (102260) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1780607374
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL GULLEDGECredential: PA
Location Address12905 ROSEDALE HILL AVEHuntersville, NC 28078-3341
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 801-1000
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 20, 201926 updates tracked since enumeration
✔ NPI 1780607374 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 · 102260
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.
12905 ROSEDALE HILL AVE, Huntersville, NC 28078
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Secondary Practice Locations 4

Location 15717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 25727 Prosperity Crossing Dr, STE 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 37810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 410210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Gulledge Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28078 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

THOMAS CHADWICK TATE PA
Physician Assistant
12905 ROSEDALE HILL AVE
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-1000
NAOMI B GRIFFIN FNP
Nurse Practitioner
12905 ROSEDALE HILL AVE
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-1000
BABAK MOKARI DO
Family Medicine
12905 ROSEDALE HILL AVE
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-1000
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
12905 ROSEDALE HILL AVE
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-1000
KAROLINA ANNA BARTOSIK PA
Physician Assistant
12905 ROSEDALE HILL AVE
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-1000

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 Gulledge's NPI number?

The NPI number for Michael Gulledge is 1780607374. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Michael Gulledge located?

Michael Gulledge practices at 12905 Rosedale Hill Ave, Huntersville, NC 28078. The listed phone number is (704) 801-1000.

What is Michael Gulledge's specialty?

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

Is Michael Gulledge enrolled in Medicare?

Yes. Michael Gulledge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Gulledge was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.