Active NPI
Panayiotis P Grevenitis, M.D.
- Gastroenterology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD.35145
- Practice address
- 3601 Springhill Business Park Ste 201
Mobile, AL 36608-1263 - Phone
- (251) 873-6192
- NPI assigned
- Jun 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL32661 | SC | |
| Gastroenterology Physician | 207RG0100X | MD.35145 | AL | Primary |
Addresses
Primary practice location
3601 Springhill Business Park Ste 201
Mobile, AL 36608-1263
Mailing address
480 Honeysuckle Rd
Dothan, AL 36305-1156
Phone (334) 836-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of South Alabama College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 Spring Hill Business Park
Suite 201
Mobile, AL 36608
Phone (251) 873-6192
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 204 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL32661 | SC | MD | Internal Medicine Physician |
| MD.35145 | AL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Center LLC | Current | Accepting new patients | |
| Gut PC | Gastroenterology | Current | Accepting new patients |
| Gut PC | Current | Accepting new patients |
Locations
480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933
3601 Springhill Business Park
Ste 201
Mobile, AL 36608
Phone (251) 873-6192
Interoperability endpoints
- panayiotisgrevenitis@amgmd.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Dothan, AL
- NPI 1073566006
-
- Anesthesiology Physician
- Dothan, AL
- NPI 1790201903
-
- Nurse Practitioner
- Mobile, AL
- NPI 1538274329
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1073834792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051156",
"telephone_number": "334-836-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SPRINGHILL BUSINESS PARK STE 201",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081263",
"telephone_number": "251-873-6192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREVENITIS",
"first_name": "PANAYIOTIS",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL32661",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "MD.35145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.