Individual provider Active NPI

Jamie Nicole Gregory

  • Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1265041602
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014842 Issued in NC
Practice address
417 E Statesville Ave
Mooresville, NC 28115-2590
Phone
(704) 663-3063
Fax
(704) 663-4873
NPI assigned
Jul 30, 2020
Reactivated
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5014842 NC Primary

Addresses

Primary practice location

417 E Statesville Ave
Mooresville, NC 28115-2590

Mailing address

417 E Statesville Ave
Mooresville, NC 28115-2590
Phone (704) 663-3063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.gregory.1@4693.direct.athenahealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206001674 NC Practitioner - Nurse Practitioner 8426448481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nirvana Hyperbaric Institute LLCGroup PAC ID 4587063136, 5 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

146 Medical Park Rd
Suite 110
Mooresville, NC 28117-8529
Phone (704) 471-4100

294 N NC 16 Business Hwy
Suite a
Denver, NC 28037-8741
Phone (704) 660-4041

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014842NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

294 N NC 16 Business Hwy
Ste A1
Denver, NC 28037

294 N NC 16 Business Hwy
Ste A
Denver, NC 28037
Phone (704) 660-4041

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

417 E Statesville Ave
Mooresville, NC 28115
Phone (704) 663-3063

131 Medical Park Rd
Ste 302
Mooresville, NC 28117
Phone (704) 660-4750

Interoperability endpoints

  • Direct secure messaging: jgregory623475@direct.medicine.duke.edu

Organizations & group practices 3

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 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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1265041602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152590",
            "telephone_number": "704-663-3063",
            "fax_number": "704-663-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152590",
            "telephone_number": "704-663-3063",
            "fax_number": "704-663-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "deactivation_date": "2021-07-23",
        "reactivation_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.gregory.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1217 Davie Ave",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286773511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.