Active NPI
Gregory Jason Christie, PA-C
- Physician Assistant
- Andover, MA
National Provider Identifier
1255323135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 305
- Practice address
- 140 Haverhill St
Suite 1
Andover, MA 01810-1504 - Phone
- (978) 470-0707
- Fax
- (978) 470-8973
- NPI assigned
- Aug 17, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 305 | MA | Primary |
Addresses
Primary practice location
140 Haverhill St
Suite 1
Andover, MA 01810-1504
Mailing address
140 Haverhill St
Suite 1
Andover, MA 01810-1504
Phone (978) 470-0707
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Wichita Family Physicians, P.a. | Current | Accepting new patients | |
| Professional Portable Radiologic Services Inc. | Past | Accepting new patients |
Locations
8200 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 721-4544
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255323135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HAVERHILL ST",
"address_2": "SUITE 1",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101504",
"telephone_number": "978-470-0707",
"fax_number": "978-470-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HAVERHILL ST",
"address_2": "SUITE 1",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101504",
"telephone_number": "978-470-0707",
"fax_number": "978-470-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "GREGORY",
"middle_name": "JASON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.