Active NPI
Gregory Allen
- Clinical Social Worker
- Hillsborough, NC
National Provider Identifier
1013933811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C000474
- Practice address
- 209 Millstone Dr
Suite a
Hillsborough, NC 27278-8776 - Phone
- (919) 245-5400
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C000474 | NC | Primary |
Addresses
Primary practice location
209 Millstone Dr
Suite a
Hillsborough, NC 27278-8776
Mailing address
PO Box 1630
Pinehurst, NC 28370-1630
Phone (910) 295-6007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003355 | Medicaid | NC |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Burlington, NC
- NPI 1023131711
Clinical
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1962687053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C000474 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annas Resources, P.C. | Past | Accepting new patients | |
| Alamance Caswell Area MH DD Sa Area Authority | Clinical | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1013933811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1630",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283701630",
"telephone_number": "910-295-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MILLSTONE DR",
"address_2": "SUITE A",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272788776",
"telephone_number": "919-245-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C000474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003355",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.