DR. CHARLES MICHAEL GAMMON M.D. PH.D. NPI 1720126642

NPI Information

  • NPI: 1720126642
  • Provider Name: DR. CHARLES MICHAEL GAMMON, M.D., PH.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 3725 NATIONAL DR
    SUITE 227
    RALEIGH, NC
    ZIP 27612
  • Phone: (919) 781-7811

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NPI Details

DR. Charles Michael Gammon, M.D., PH.D. is a child and adolescent psychiatry psychiatry neurology in Raleigh, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Charles Michael Gammon, M.D., PH.D. NPI is 1720126642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3725 NATIONAL DR
SUITE 227
RALEIGH, NC
ZIP 27612-066
Phone: (919) 781-7811
Fax: (919) 786-1337

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry95-00073NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1223-4155MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
2G47327MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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