Gregory Louis Beres, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4073 Issued in SC

Practice address

2880 Tricom St
North Charleston, SC 29406-9171

Phone

(843) 797-5050

Fax

(843) 797-3633

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Physician Assistant

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arcis Healthcare LLC 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.beres.1@7388.direct.athenahealth.com

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.

• Arcis Healthcare, LLC

  • Orthopaedic Surgery Physician
  • North Charleston, SC
  • NPI 1902246077

  Medical, SC

  Medicare reassignment Care Compare group NPD
• Arcis Healthcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Ladson, SC
  • NPI 1881406767
  Care Compare group NPD
• Arcis Healthcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Summerville, SC
  • NPI 1144644725
  Care Compare group
• Arcis Healthcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Summerville, SC
  • NPI 1972927564
  Care Compare group
• Arcis Healthcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
  • NPI 1992129563
  Care Compare group
• Amazing Grace Healthcare PLLC

  • Primary Care Clinic/Center
  • Greenville, NC
  • NPI 1689329930
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1306831383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069171",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069171",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "GREGORY",
        "middle_name": "LOUIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101514",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "4073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Bennett, RBT
• Shanice Janae Bennett
• Susan C Bennett, LPN
• Jessica Benson, PHARMD
• Parker Berdon
• Christopher Scott Berman, PHARM.D.
• David John Berndt, PH.D.
• Kaylen Marie Bernota, PA-C
• Sean Betts, OTR/L
• BHG LXXX, LLC

• All providers in North Charleston, SC
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.