Gebreselassie W Nida, M.D. , FACE

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

200900231 Issued in NC

Practice address

1107 S Main St
Reidsville, NC 27320-5313

Phone

(336) 951-6070

Fax

(336) 634-3940

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gebre Nida Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Endocrinology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
• Sovah Health Danville Hospital, Danville, VA, CCN 490075
• Unc Rockingham Hospital, Eden, NC, CCN 340060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Moses Cone Physician Services Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Reidsville, NC
  • NPI 1780004556
  Medicare reassignment Care Compare group NPD
• Moses Cone Physician Services Inc

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• Tesfaye D Fanta MD PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Reidsville, NC
  • NPI 1033489216
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Moses H. Cone Memorial Hospital Operating Corporation

  • General Acute Care Hospital
  • Greensboro, NC
  • NPI 1477591055
  Care Compare affiliation
• Unc Rockingham Health Care, Inc.

  • General Acute Care Hospital
  • Eden, NC
  • NPI 1326048810
  Care Compare affiliation
• Danville Regional Medical Center LLC

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1386720183
  Care Compare affiliation
• Danville Regional Medical Center, LLC

  • Rural Acute Care Hospital
  • Danville, VA
  • NPI 1154419737
  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1346450657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205313",
            "telephone_number": "336-951-6070",
            "fax_number": "336-634-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205313",
            "telephone_number": "336-951-6070",
            "fax_number": "336-634-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDA",
        "first_name": "GEBRESELASSIE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D. , FACE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "200900231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEBRE",
            "last_name": "NIDA",
            "prefix": "DR.",
            "credential": "M.D. FACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron Robert Nethercott, PHARMD
• New Beginnings of Reidsville
• New Graceson Manor Adult Care
• New Graceson Manor Adult Care, LLC
• New Vision Home Care Inc
• North Carolina CVS Pharmacy LLC
• North Star Pathology PLLC
• Northern Triad Surgical Associates, PLLC
• Kayla Rose O'Boyle, LCSW
• Cheryl O'Mara, PT

• Endocrinology, Diabetes & Metabolism Physician in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Endocrinology, Diabetes & Metabolism Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.