Individual provider Active NPI

Gerald Kenneth Hill, M.D.

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1114971009
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31528 Issued in NC
Practice address
1317 N Elm St
Suite 7
Greensboro, NC 27401-1033
Phone
(336) 373-1557
Fax
(336) 373-1742
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31528 NC Primary

Addresses

Primary practice location

1317 N Elm St
Suite 7
Greensboro, NC 27401-1033

Mailing address

1317 N Elm St
Suite 7
Greensboro, NC 27401-1033
Phone (336) 373-1557

Other identifiers 1

IdentifierTypeStateIssuer
8942366MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000687 NC Practitioner - Family Practice 5496664856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bland Clinic, PAGroup PAC ID 6800790452, 3 clinicians

Practice addresses (Care Compare)

1317 N Elm St
Suite 7
Greensboro, NC 27401-1023
Phone (336) 373-1557

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bland Clinic, PA Family Medicine CurrentSince Mar 4, 2010 Accepting new patients
Rmsa Inc Health Center Past Accepting new patients

Locations

1317 N Elm St
Ste 7
Greensboro, NC 27401
Phone (336) 252-4877

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1114971009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST",
            "address_2": "SUITE 7",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011033",
            "telephone_number": "336-373-1557",
            "fax_number": "336-373-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST",
            "address_2": "SUITE 7",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011033",
            "telephone_number": "336-373-1557",
            "fax_number": "336-373-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "GERALD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8942366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.