IndividualActive
Gina Licause, MD
NPI 1699762039 · Family Medicine Physician · Charlotte, NC
Gina Licause, MD is a Family Medicine Physician provider in Charlotte, NC (NPI 1699762039).
Provider details
- NPI number
- 1699762039
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 35695 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 E Wt Harris Blvd
Ste 5002
Charlotte, NC 28262-3485
Phone: (704) 801-7310
Street-level locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Additional practice locations (4)
- 14214 Ballantyne Lake RdSte 100Charlotte, NC 28277-3372Phone: (704) 667-2650
- 10226 Couloak DrSte 100Charlotte, NC 28216-7675Phone: (704) 801-7380
- 101 E W T Harris BlvdSte 5401Charlotte, NC 28262-3485Phone: (704) 863-9700
- 150 Professional Park DrSte 400Mooresville, NC 28117-5603Phone: (704) 801-7360
Registry dates
- Enumerated
- 2005-09-30
- Last updated
- 2021-09-27
- Certified
- 2020-05-03
Frequently asked questions
- What is Gina Licause's NPI number?
- Gina Licause's National Provider Identifier (NPI) is 1699762039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gina Licause's specialty?
- Gina Licause is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gina Licause located?
- Gina Licause's practice location on file with NPPES is 101 E Wt Harris Blvd, Charlotte, NC 28262-3485.
- What is Gina Licause's phone number?
- The practice phone number listed in the NPPES registry for Gina Licause is (704) 801-7310.
- Is Gina Licause's NPI active?
- Yes — Gina Licause's NPI (1699762039) is active in the NPPES registry as of the last update on 2021-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.