Individual provider Active NPI

Gregory Alan Damery, MD

  • Obstetrics & Gynecology Physician
  • Lakeland, FL
National Provider Identifier
1083637540
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME-0070721 Issued in FL
Practice address
515 Channing Rd
Lakeland, FL 33805
Phone
(863) 940-9336
Fax
(888) 470-8777
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME-0070721 FL Primary

Addresses

Primary practice location

515 Channing Rd
Lakeland, FL 33805

Mailing address

515 Channing Rd
Lakeland, FL 33805
Phone (863) 940-9336

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000569 FL Practitioner - Obstetrics/Gynecology 1153229190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nevada School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetics Choice LLCGroup PAC ID 5092157933, 2 clinicians

Practice addresses (Care Compare)

5600 Bee Ridge Rd
Suite B
Sarasota, FL 34233-1500
Phone (941) 233-8321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0070721FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic'S Choice, LLC CurrentSince Jun 6, 2024 Accepting new patients
Elite Health Center & Gynecology Past Accepting new patients
Visiting Nurse Association of Florida Inc PastSince Jun 6, 2024 Accepting new patients
Winter Haven Hospital Inc Obstetrics & Gynecology PastSince Nov 24, 2019 Accepting new patients

Locations

5600 Bee Ridge Rd
Ste B
Sarasota, FL 34233
Phone (941) 233-8321

Organizations & group practices 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1083637540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CHANNING RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805",
            "telephone_number": "863-940-9336",
            "fax_number": "888-470-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CHANNING RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805",
            "telephone_number": "863-940-9336",
            "fax_number": "888-470-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERY",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME-0070721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.