Individual provider Active NPI

Alexis Marie Gregor, PA-C

  • Physician Assistant
  • Paoli, PA
National Provider Identifier
1194559864
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2 Industrial Blvd Ste 210
Paoli, PA 19301-1648
Phone
(484) 879-6508
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2 Industrial Blvd Ste 210
Paoli, PA 19301-1648

Mailing address

2 Industrial Blvd Ste 210
Paoli, PA 19301-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250109004092 PA Practitioner - Physician Assistant 4183152788 Reassigns benefits to 1 organization
I20250130002181 DE Practitioner - Physician Assistant 4183152788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North American Spine and Pain Consultants LLC NaspacGroup PAC ID 1658630538, 6 clinicians

Practice addresses (Care Compare)

2600 Glasgow Ave
Suite 126
Newark, DE 19702-4777
Phone (302) 439-3063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North American Spine & Pain Consultants LLC Naspac CurrentSince Jan 2, 2025 Accepting new patients
Naspac-NJ PLLC CurrentSince Jan 2, 2025 Accepting new patients

Locations

2600 Glasgow Ave
Ste 126
Newark, DE 19702
Phone (302) 439-3063

404 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 845-3988

930 Town Center Dr
Ste F50
Langhorne, PA 19047
Phone (267) 352-3990

2 Industrial Blvd
Ste 210
Paoli, PA 19301
Phone (484) 879-6508

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1194559864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD STE 210",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD STE 210",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011648",
            "telephone_number": "484-879-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOR",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.