Individual provider Active NPI

Gregory Scott Kottkamp, M.D.

  • Anesthesiology Physician
  • Rocky Mount, VA
National Provider Identifier
1003179961
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101287682 Issued in VA
Practice address
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone
(540) 489-6353
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101287682 VA Primary
Anesthesiology Physician 207L00000X LL34900 SC
Anesthesiology Physician 207L00000X 49242 KY

Addresses

Primary practice location

180 Floyd Ave
Rocky Mount, VA 24151-1318

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL, NC, NE, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160804002446 KY Practitioner - Anesthesiology 8628367679 Reassigns benefits to 2 organizations
I20201124001571 FL Practitioner - Anesthesiology 8628367679 Reassigns benefits to 1 organization
I20240308001200 NC Practitioner - Anesthesiology 8628367679 Reassigns benefits to 1 organization
I20240723003541 NE Practitioner - Anesthesiology 8628367679 Reassigns benefits to 1 organization
I20251230003161 VA Practitioner - Anesthesiology 8628367679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians
Capital Anesthesia Solutions of Kentucky LLCGroup PAC ID 0446681548, 37 clinicians
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441

720 Malcolm Blvd
Valdese, NC 28690-2872
Phone (828) 874-2251

804 22ND Ave
Kearney, NE 68845-2206
Phone (308) 455-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101287682VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Aug 18, 2020 Accepting new patients
Bryan Hospital Kearney CurrentSince Jun 21, 2024 Accepting new patients
Capital Anesthesia Solutions of Kentucky LLC Anesthesiology CurrentSince Apr 27, 2020 Accepting new patients
Carilion Professional Services LLC CurrentSince Jan 5, 2025 Accepting new patients
Morganton Anesthesia Partners, PLLC Anesthesiology CurrentSince Jan 9, 2024 Accepting new patients
Kentucky Anesthesia Group, PSC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Bryan Hospital Kearney Anesthesiology CurrentSince Jun 21, 2024 Accepting new patients
Morganton Anesthesia Partners, PLLC Anesthesiology Current Accepting new patients

Locations

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

301 Langdon St
Somerset, KY 42503
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1003179961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511318",
            "telephone_number": "540-489-6353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Langdon St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425032750",
            "country_code": "US",
            "telephone_number": "606-679-7441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTTKAMP",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101287682",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "LL34900",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "49242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.