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
- Individual
- Female
- Family Medicine
- Accepts Insurance
- 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 4 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 7 | 6 | 2 | 0 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 6 | 4 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 6 + 4 + 0 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1699762039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518962711 | NANCY COLETTE MONTZ MD Individual | Specialist | 101 E WT HARRIS BLVD SUITE 5002 CHARLOTTE, NC 28262 (704) 548-8724 |
| 1659310639 | DR. RALPH NELSON VICK M.D. Individual | Urology | 101 E WT HARRIS BLVD STE 5202 CHARLOTTE, NC 28262 (704) 547-1495 |
| 1679506166 | DR. JANE REN M.D. Individual | Family Medicine | 101 E WT HARRIS BLVD BUILDING 3000, SUITE 3301 CHARLOTTE, NC 28262 (704) 548-6970 |
| 1588679062 | ANGELA M MODEROW PT Individual | Physical Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1952316440 | KAREN A KITCHENS-LAW OT Individual | Occupational Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1396750733 | DIANE L SCHLEICHER PT Individual | Physical Therapist | 101 E WT HARRIS BLVD CHARLOTTE, NC 28262 (704) 548-5780 |
| 1417964941 | KRISTA J BERGER SLP Individual | Speech-Language Pathologist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1821004318 | MELISSA MIRANDA PT Individual | Physical Therapist | 101 E WT HARRIS BLVD CUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1891701306 | DIANE G WASSUM PT Individual | Physical Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1396752820 | PAMELA C MILLS OT Individual | Occupational Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1811904378 | LISA R CLARK PT Individual | Physical Therapist | 101 E WT HARRIS BLVD CUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1720197825 | DONALD C. WHITESIDE MD Individual | Obstetrics & Gynecology | 101 E WT HARRIS BLVD SUITE 2320 CHARLOTTE, NC 28262 (704) 547-0858 |
| 1730201302 | STEPHANIE J B LEVI PT Individual | Physical Therapist | 101 E WT HARRIS BLVD SUITE 5304 CHARLOTTE, NC 28262 (704) 869-5780 |
| 1134334295 | ORTHOCAROLINA PA Organization | Orthopaedic Surgery | 101 E WT HARRIS BLVD SUITE 1110 CHARLOTTE, NC 28262 (704) 339-1073 |
| 1407299795 | CAROLINAS MEDICAL CENTER-NORTHEAST Organization | Internal Medicine (Rheumatology) | 101 E WT HARRIS BLVD BLDG 3000, SUITE 3301-G CHARLOTTE, NC 28262 (704) 403-1308 |
| 1053754341 | CAROLINAS MEDICAL CENTER-NORTHEAST Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 101 E WT HARRIS BLVD BLDG 3000, SUITE 3301-F CHARLOTTE, NC 28262 (704) 403-8320 |
| 1740300185 | LAURA L. LUPTON MD Individual | Family Medicine | 101 E WT HARRIS BLVD SUITE 5002 CHARLOTTE, NC 28262 (704) 863-9700 |
| 1043675861 | EMILY JOHNSTON RD Individual | Dietitian, Registered | 101 E WT HARRIS BLVD SUITE 2122B CHARLOTTE, NC 28262 (704) 863-6548 |
| 1356349914 | MR. MATTHEW G BAKER PA-C Individual | Physician Assistant (Medical) | 101 E WT HARRIS BLVD SUITE 5202 CHARLOTTE, NC 28262 (704) 547-1495 |
| 1710005087 | DR. JOSEPH JAMES DOERGER M.D. Individual | Surgery | 101 E WT HARRIS BLVD SUITE 5103 CHARLOTTE, NC 28262 (704) 547-9196 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699762039, enumerated in the NPI registry 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
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.