Individual provider Active NPI

Eleonora I Grey, DO

  • Family Medicine Physician
  • Ronceverte, WV
National Provider Identifier
1053604728
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2651 Issued in WV
Practice address
320 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364
Phone
(304) 689-4488
Fax
(304) 927-8198
NPI assigned
May 27, 2011
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2651 WV Primary
General Practice Physician 208D00000X 2651 WV

Addresses

Primary practice location

320 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364

Mailing address

320 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364
Phone (304) 689-4488

Other practice location 1

320 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364
Phone (304) 689-4488

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL famcare20@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151007001136 WV Practitioner - Family Practice 5193033405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

320 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364
Phone (304) 689-4488

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Plus PLLC Single Specialty CurrentSince May 4, 2020 Accepting new patients
Beckley Area Medical Clinic, Inc Single Specialty CurrentSince Jun 26, 2016 Accepting new patients

Locations

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

320 Red Oaks Shopping Ctr
Ronceverte, WV 24970
Phone (304) 520-4240

320 Red Oaks Shopping Ctr
#31
Ronceverte, WV 24970
Phone (304) 689-4488

Interoperability endpoints

  • Direct secure messaging: eleonoragrey@arh.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053604728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701364",
            "telephone_number": "304-689-4488",
            "fax_number": "866-920-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701364",
            "telephone_number": "304-689-4488",
            "fax_number": "304-927-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Red Oaks Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249701364",
            "country_code": "US",
            "telephone_number": "304-689-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREY",
        "first_name": "ELEONORA",
        "middle_name": "I",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2651",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "2651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "famcare20@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "320 Red Oaks Shopping Ctr",
            "city": "Ronceverte",
            "state": "WV",
            "country_code": "US",
            "postal_code": "249701364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

Verify at the official NPI Registry.