Individual provider Active NPI

Joshua Bailey Gregg

  • Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1003599564
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119560 Issued in FL
Practice address
2160 Capital Cir NE Ste 200
Tallahassee, FL 32308-4391
Phone
(850) 558-1260
NPI assigned
Aug 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA9119560 FL Primary

Addresses

Primary practice location

2160 Capital Cir NE Ste 200
Tallahassee, FL 32308-4391

Mailing address

5638 Rochambeau Dr
Tallahassee, FL 32311-6036
Phone (205) 382-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702000198 FL Practitioner - Physician Assistant 3577076595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Neurological ClinicGroup PAC ID 9032015946, 36 clinicians

Practice addresses (Care Compare)

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4659

1675 Riggins Rd
Tallahassee, FL 32308-5315
Phone (850) 656-4800

1775 One Healing PL
Tallahassee, FL 32308-4600
Phone (850) 431-4226

2160 Capital Cir NE
Suite 200
Tallahassee, FL 32308-4391
Phone (850) 558-1260

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

2824 Mahan Dr
Tallahassee, FL 32308-5429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1003599564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 ROCHAMBEAU DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116036",
            "telephone_number": "205-382-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 CAPITAL CIR NE STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084391",
            "telephone_number": "850-558-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "JOSHUA",
        "middle_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.