Individual
COLIN HAYES GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 WELLESLEY TRADE LN, CARY, NC 27519-5576
(919) 363-7546
(919) 363-3616
Mailing address
200 WELLESLEY TRADE LN, CARY, NC 27519-5576
(919) 363-7546
(919) 363-3616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04941
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042299001
GROUP DMERC #
SC
01
—
1225006760
GROUP NPI #
SC
01
—
1326287434
GROUP MEDICARE DME NPI #
SC
01
—
1701
GROUP MEDICARE PIN #
SC
01
—
20000499
GROUP SELECT HEALTH PROVIDER #
SC
01
—
20076508
GROUP SELECT HEALTH DME #
SC
01
—
461555
GROUP MEDICARE DME #
SC
01
—
57-0634057
GROUP TAX ID #
SC
01
—
CD28777
GROUP MEDICARE RAILROAD #
SC
01
—
PA0971
GROUP MEDICAID #
SC
Enumeration date
06/19/2012
Last updated
01/28/2026
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