Active NPI
Cassandra S Gregory, DR. OF EDUCATION
- Prevention Professional
- Charlotte, NC
National Provider Identifier
1427868504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 736559
- Practice address
- 2001 Catherine Simmons Ave
Charlotte, NC 28216-4677 - Phone
- (704) 492-1533
- NPI assigned
- Jan 10, 2025
- Last updated
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 736559 | NC | Primary |
Addresses
Primary practice location
2001 Catherine Simmons Ave
Charlotte, NC 28216-4677
Mailing address
8800 Shady Pine CT
Charlotte, NC 28214-7116
Phone (704) 287-1935
Other names 1
- Dr. Cassandra S Gregory
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.peersupportnc.com | Direct | Cedric Dean Holdings Inc. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 736559 | NC | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedric Dean Holdings Inc. | Current | Accepting new patients |
Locations
2001 Catherine Simmons Ave
Charlotte, NC 28216
Phone (704) 492-1533
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.
-
dba Cedric Dean Homes
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1497473086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1427868504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SHADY PINE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282147116",
"telephone_number": "704-287-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CATHERINE SIMMONS AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282164677",
"telephone_number": "704-492-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "CASSANDRA",
"middle_name": "S",
"credential": "DR. OF EDUCATION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NC",
"license": "736559",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.peersupportnc.com",
"affiliation": "Y",
"endpointDescription": "Community Behavioral Health Provider",
"affiliationName": "Cedric Dean Holdings Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Public Health and Welfare",
"address_1": "2001 Catherine Simmons Ave",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282164677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "GREGORY",
"middle_name": "S",
"prefix": "DR.",
"credential": "CASSANDRA GREGORY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.