Individual provider Active NPI

Gregory A. Collier, PA-C

  • Physician Assistant
  • Boone, NC
National Provider Identifier
1336651728
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09521 Issued in NC
Practice address
169 Birch St
Boone, NC 28607-5069
Phone
(828) 264-4553
Fax
(828) 262-3649
NPI assigned
Oct 25, 2017
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 0010-09521 NC Primary

Addresses

Primary practice location

169 Birch St
Boone, NC 28607-5069

Mailing address

169 Birch St
Boone, NC 28607-5069
Phone (828) 264-4553

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
I20200729001868 NC Practitioner - Physician Assistant 9032470844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Dermatology ClinicGroup PAC ID 8224062666, 12 clinicians

Practice addresses (Care Compare)

115 Doctors Dr
Boone, NC 28607-5017
Phone (828) 264-4553

141 Doctors Dr
Boone, NC 28607-5017
Phone (828) 264-4553

169 Birch St
Boone, NC 28607-5069
Phone (828) 264-4553

169 Doctors Dr
Boone, NC 28607-5017
Phone (828) 264-4553

Merit-based Incentive Payment System (MIPS)

Final score
82.08 of 100Reported as individual
Quality
67.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-09521NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: gcollier@boonedermclinic.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1336651728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BIRCH ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075069",
            "telephone_number": "828-264-4553",
            "fax_number": "828-262-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 BIRCH ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075069",
            "telephone_number": "828-264-4553",
            "fax_number": "828-262-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.