Individual provider Active NPI

Gregory Alan Teston, LICENSE ACUPUNCTURIS

  • Acupuncturist
  • Baxley, GA
National Provider Identifier
1407040561
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
182 Issued in GA
Practice address
1329 Hatch Pkwy N
Suite a
Baxley, GA 31513-1080
Phone
(912) 705-0115
NPI assigned
Aug 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 012100457 VA
Acupuncturist 171100000X V01584 MD
Acupuncturist 171100000X 182 GA Primary

Addresses

Primary practice location

1329 Hatch Pkwy N
Suite a
Baxley, GA 31513-1080

Mailing address

1329 Hatch Pkwy N
Suite a
Baxley, GA 31513-1080
Phone (912) 705-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
182GAMDAcupuncturist
V01584MDMDAcupuncturist
012100457VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1407040561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 HATCH PKWY N",
            "address_2": "SUITE A",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315131080",
            "telephone_number": "912-705-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 HATCH PKWY N",
            "address_2": "SUITE A",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315131080",
            "telephone_number": "912-705-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTON",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LICENSE ACUPUNCTURIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "012100457",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "V01584",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.