Individual provider Active NPI

Caryn Gorby, CNP

  • Family Nurse Practitioner
  • Granville, OH
National Provider Identifier
1144626433
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA16728NP Issued in OH
Practice address
590 Newark Granville Rd
Granville, OH 43023-1436
Phone
(888) 531-7444
Fax
(888) 531-7444
NPI assigned
Nov 13, 2014
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA16728NP OH Primary

Addresses

Primary practice location

590 Newark Granville Rd
Granville, OH 43023-1436

Mailing address

590 Newark Granville Rd
Granville, OH 43023-1436
Phone (888) 531-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112002252 OH Practitioner - Nurse Practitioner 7719201102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Central Ohio Geriatrics, LLCGroup PAC ID 7517015373, 8 clinicians

Practice addresses (Care Compare)

2158 Columbus Rd
Granville, OH 43023-1242
Phone (740) 321-0400

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

5055 Thompson Rd
Columbus, OH 43230-6336
Phone (614) 855-3700

920 Sharon Valley Rd
Newark, OH 43055-7925
Phone (740) 336-7333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA16728NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Aug 16, 2024 Accepting new patients

Locations

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

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 4

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1144626433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231436",
            "telephone_number": "888-531-7444",
            "fax_number": "888-531-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231436",
            "telephone_number": "888-531-7444",
            "fax_number": "888-531-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBY",
        "first_name": "CARYN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA16728NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

Verify at the official NPI Registry.