Active NPI
Richard Gregory, PA-C
- Medical Physician Assistant
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 103021
- Practice address
- 2100 Stantonsburg Rd
Greenville, NC 27834-2818 - Phone
- (252) 641-7150
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103021 | NC | |
| Medical Physician Assistant | 363AM0700X | 103021 | NC | Primary |
Addresses
Primary practice location
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Mailing address
111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7150
Other practice location 1
628 E 12th St
Washington, NC 27889-3409
Phone (252) 975-4319
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136YA | Other | NC | BCBS |
| 89130F0 | Medicaid | NC |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgregory17321@direct.ecuhealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | rgregory17321@direct.vidanthealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | rgregory17321@direct.vidanthealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100415000250 | NC | Practitioner - Physician Assistant | 4981616075 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Carolina University
Practice addresses (Care Compare)
628 E 12TH St
Washington, NC 27889-3409
Phone (252) 975-4319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current | Accepting new patients | |
| Bertie County Rural Health Association | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Express Care & Family Practice Center, PA | Past | Accepting new patients | |
| Bertie County Rural Health Association | Past | Accepting new patients | |
| Eastern Institute of Medical Sciences PLLC | Past | Accepting new patients | |
| Bertie County Rural Health Association | Past | Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700
628 E 12th St
Washington, NC 27889
Phone (252) 975-4100
104 Rhodes Ave
Windsor, NC 27983
Phone (252) 794-1835
Interoperability endpoints
- rgregory17321@direct.vidanthealth.com
- rgregory17321@direct.ecuhealth.com
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Windsor, NC
- NPI 1396886842
NC
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Diagnostic Radiology Physician
- Greenville, NC
- NPI 1780367318
-
- Federally Qualified Health Center (FQHC)
- Windsor, NC
- NPI 1053577452
-
- Clinic Pharmacy
- Windsor, NC
- NPI 1801427711
-
- Medical Oncology Physician
- Greenville, NC
- NPI 1962779439
-
- Medical Specialty Clinic/Center
- Roanoke Rapids, NC
- NPI 1831473057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1093856536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOSPITAL DR",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862011",
"telephone_number": "252-641-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STANTONSBURG RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342818",
"telephone_number": "252-641-7150"
}
],
"practiceLocations": [
{
"address_1": "628 E 12th St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "NC",
"postal_code": "278893409",
"country_code": "US",
"telephone_number": "252-975-4319",
"fax_number": "252-975-4826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103021",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "136YA",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130F0",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgregory17321@direct.ecuhealth.com",
"affiliation": "N",
"endpointDescription": "ECU Physicians",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "628 E 12th St",
"city": "Washington",
"state": "NC",
"country_code": "US",
"postal_code": "278893409",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgregory17321@direct.vidanthealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgregory17321@direct.vidanthealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.