VIRGINIA ELIZABETH GAULDEN CNM
NPI 1942962956
Advanced Practice Midwife in Charlotte, NC

Q: What is Virginia Gaulden's NPI number?

The NPI number for Virginia Gaulden is 1942962956. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Virginia Gaulden's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Virginia Gaulden was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 07, 2021PECOS Enrolled

10905 PROVIDENCE RD W STE 260, CHARLOTTE, NC 28277(704) 542-0744(704) 543-7713 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2023, Nov 18, 2021, Oct 7, 2021 (3 updates tracked since 2021).

On this page

About Virginia Elizabeth Gaulden Cnm NPPES

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

VIRGINIA ELIZABETH GAULDEN CNM (NPI 1942962956) is an individual advanced practice midwife in Charlotte, North Carolina, licensed in South Carolina (25583) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942962956

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameVIRGINIA ELIZABETH GAULDENCredential: CNM

Location Address10905 PROVIDENCE RD W STE 260Charlotte, NC 28277-1538

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 542-0744

Fax(704) 543-7713

Sole ProprietorNo

Enumeration DateOctober 7, 2021

Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1942962956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in SC · 25583

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

10905 PROVIDENCE RD W STE 260, Charlotte, NC 28277

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 Chapman Hill RdClemson, SC 29631-2194 · Phone (864) 653-4071 · Fax (864) 653-4074

Location 25933 Blakeney Park Dr Ste 100Charlotte, NC 28277-5763 · Phone (704) 316-2021 · Fax (704) 316-2025

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Virginia Elizabeth Gaulden Cnm 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.

Medicare Billing Reassignment

Medicare enrollment records show Virginia Gaulden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC

Same address

Hospice and Palliative Medicine

10905 PROVIDENCE ROAD W
Charlotte, NC 28277

Reassigned Medicare billing, North Carolina and South Carolina enrollments
Also billed through NPI 1265870026 (North Carolina), NPI 1245335421 (South Carolina)
2,998 clinicians in this Medicare group

NPI 1174202170 (704) 384-6478

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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

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

MRS. LINDSAY VROON LOWERY CNM

Advanced Practice Midwife

10905 PROVIDENCE RD W STE 260
CHARLOTTE, NC 28277

Mecklenburg County (704) 542-0744

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 Virginia Gaulden's NPI number?

The NPI number for Virginia Gaulden is 1942962956. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Virginia Gaulden located?

Virginia Gaulden practices at 10905 Providence Rd W Ste 260, Charlotte, NC 28277. The listed phone number is (704) 542-0744.

What is Virginia Gaulden's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Virginia Gaulden enrolled in Medicare?

Yes. Virginia Gaulden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Virginia Gaulden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Gaulden reassigns Medicare benefits to Novant Health Medical Group, LLC (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Virginia Gaulden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Gaulden accept?

Health plans from Blue Cross and Blue Shield of NC and Molina Healthcare list Virginia Gaulden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Virginia Gaulden was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.