Gregory E Edwards

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-098-014 Issued in NC

Legal business name

GREGORY E EDWARDS

Doing business as

Pleasant Pine Family Care

Practice address

516 Deans St W
Wilson, NC 27893-2802

Phone

(252) 399-7609

Fax

(252) 291-9448

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Gregory E EdwardsNPI 1215069240

Title

Owner

Phone

(252) 399-7609

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pleasant Pine Family Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Eugene Edwards

  • Assisted Living Facility
  • Wilson, NC
  • NPI 1215069240
  NPD (past) Authorized official

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1285817205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 DEANS ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932802",
            "telephone_number": "252-399-7609",
            "fax_number": "252-291-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DEANS ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932802",
            "telephone_number": "252-399-7609",
            "fax_number": "252-291-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-399-7609"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-098-014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804541",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Pine Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace 4 the Youth LLC.
• Sandra Ann Grace, LCAS
• Graceland Student Services LLC
• Laura Graham, MS, CCC-SLP
• Sheryl Lashell Green, LMBT
• Robert D Gregory, PH.D.
• Keesha Grice, LCMHCA, LCASA
• Claire Kathryn Griffith, PHYSICIAN ASSISTANT
• Carolyne Paige Grizer
• Guardian Angel Healthcare, LLC (Alliance Center Wilson)

• Assisted Living Facility in Wilson, NC
• Providers in Wilson, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.