Individual provider Active NPI

Gregory Lee Copeland, DO

  • Family Medicine Physician
  • Clovis, CA
National Provider Identifier
1154528123
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10829 Issued in CA
Practice address
255 W Herndon Ave Ste 103
Clovis, CA 93612-0381
Phone
(559) 570-0070
Fax
(559) 570-0059
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 20A10829 CA Primary

Addresses

Primary practice location

255 W Herndon Ave Ste 103
Clovis, CA 93612-0381

Mailing address

255 W Herndon Ave Ste 103
Clovis, CA 93612-0381
Phone (559) 570-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091121000138 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Hospice/Palliative Care 1456490945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians
Smartcare Medical Group, IncGroup PAC ID 7012318785, 4 clinicians

Practice addresses (Care Compare)

245 W Herndon Ave
Clovis, CA 93612-0204
Phone (559) 299-1178

255 W Herndon Ave
Suite 103
Clovis, CA 93612-0381
Phone (559) 570-0070

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

7565 N Cedar Ave
Suite 101
Fresno, CA 93720-2687
Phone (559) 438-8888

805 W Acequia Ave
Suite 2D
Visalia, CA 93291-6164
Phone (559) 320-0530

Hospital & facility affiliations

  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
  • Kure Home Health Home health agency, Clovis, CA, CCN 559543
  • Ardent Home Health & Palliative Care Home health agency, Fresno, CA, CCN 559016
  • Vitas Healthcare Corporation of California Hospice, Fresno, CA, CCN D61544
  • Vitas Healthcare Corporation of California Hospice, Bakersfield, CA, CCN D61551
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smartcare Medical Group, Inc. Family Medicine CurrentSince Jan 26, 2021 Accepting new patients
Community Health Partners CurrentSince Mar 1, 2022 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
California Palliative Care Inc Past Accepting new patients

Locations

255 W Herndon Ave
Ste 103
Clovis, CA 93612
Phone (559) 326-2999

245 W Herndon Ave
Clovis, CA 93612
Phone (559) 299-1178

7145 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 299-1178

2335 E Kashian Ln
Ste 30
Fresno, CA 93701
Phone (559) 284-7264

2335 E Kashian Ln
Ste 301
Fresno, CA 93701
Phone (559) 224-5864

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Regional Medical CenterFresno, CA, CCN 050060 Hospital Corporate Director Feb 25, 2025
Clovis Community Medical CenterClovis, CA, CCN 050492 Hospital Corporate Director Feb 25, 2025
Community Subacute and Transitional Care CenterFresno, CA, CCN 055258 Skilled nursing facility Corporate Director
Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Feb 25, 2025
Feb 25, 2025
Feb 25, 2025
Feb 25, 2025
Community Home CareFresno, CA, CCN 057248 Home health agency Corporate Director Feb 25, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1154528123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-570-0070",
            "fax_number": "559-570-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-570-0070",
            "fax_number": "559-570-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.