Active NPI
Gregory D Mieden, MD
- Neurology Physician
- High Point, NC
National Provider Identifier
1104879154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36776
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7958800 | Medicaid | NC |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Neurological Clinic, Inc. | Neurology | Past | Accepting new patients |
Interoperability endpoints
- regionalhealthdiagnostics.gregorymieden@117073.advancedmd-direct.com
- 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.
-
- Neurology Physician
- High Point, NC
- NPI 1114921954
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.