Individual provider Active NPI

Gregory D Mieden, MD

  • Neurology Physician
  • High Point, NC
National Provider Identifier
1104879154
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36776 Issued in NC
Practice address
606 N Elm St
High Point, NC 27262-4336
Phone
(336) 889-8877
Fax
(336) 889-7832
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 36776 NC Primary

Addresses

Primary practice location

606 N Elm St
High Point, NC 27262-4336

Mailing address

2103 Bay CT
High Point, NC 27265-9323
Phone (336) 310-4712

Other identifiers 1

IdentifierTypeStateIssuer
7958800MedicaidNC

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Neurological Clinic, Inc. Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: regionalhealthdiagnostics.gregorymieden@117073.advancedmd-direct.com
  • Direct secure messaging: gmiede77196@capefearvalley.direct-ci.com

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1104879154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 BAY CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659323",
            "telephone_number": "336-310-4712",
            "fax_number": "336-450-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624336",
            "telephone_number": "336-889-8877",
            "fax_number": "336-889-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEDEN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "36776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7958800",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.