Akiva Dmitry Gimpelevich, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

64219 Issued in GA

Practice address

110 Professional Park
Oxford, NC 27565-2576

Phone

(919) 693-6541

Fax

(919) 693-7396

NPI assigned

Jan 16, 2008

Last updated

Jun 9, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, NC, VA3 enrollments

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 3

Specialty

Obstetrics/Gynecology

Education

New York College of Osteo Medicine of New York Institute of Technology, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Granville Health SystemGroup PAC ID 1052223757, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Granville Health Systems Hospital, Oxford, NC, CCN 340127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akiva.gimpelevich.p45@direct.tenet.nextgenshare.com
• Direct secure messaging: akivagimpelevich@gvhs.allscriptsdirect.net

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.

• Granville Health System

  dba Granville CRNA Group

  • Certified Registered Nurse Anesthetist
  • Oxford, NC
  • NPI 1275638512
  Medicare reassignment Care Compare group NPD
• Obhg Virginia, LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1972807394
  Medicare reassignment NPD
• Granville Health System

  dba Granville Women's Health

  • Clinic/Center
  • Oxford, NC
  • NPI 1710862859
  Medicare reassignment
• In Good Time OBGYN, P.C.

  • Obstetrics & Gynecology Physician
  • Roswell, GA
  • NPI 1457664419
  NPD (past) Authorized official
• Granville Health System

  • Diagnostic Radiology Physician
  • Oxford, NC
  • NPI 1104683341
  NPD
• Granville Health System

  dba Granville Internal Medicine & Geriatrics

  • Rural Health Clinic/Center
  • Oxford, NC
  • NPI 1811999055
  NPD
• Atlanta Institute of Medicine and Rehabilitation

  • Interventional Pain Medicine Physician
  • Atlanta, GA
  • NPI 1861473274
  NPD (past)
• Buckhead Institute of Medicine & Rehabilitation Inc.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1558702308
  NPD (past)

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

• Granville Health System

  • General Acute Care Hospital
  • Oxford, NC
  • NPI 1326061730
  Care Compare affiliation

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1467638791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL PARK",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652576",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMPELEVICH",
        "first_name": "AKIVA",
        "middle_name": "DMITRY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "64219",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "64219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003100972A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy P Foushee
• Friendly Home Care LLC
• Virginia S Fuller, MD
• Kelly Gentry, AGNP
• Gimg
• Hannah Grace Glasscock, PHARMD
• Glory to Glory Ministries House of Refuge
• Elizabeth Ann Goldbach, OTR
• Brian Golson, CCC-SLP
• Stephanie Danille Goshorn, M.D.

• Gynecology Physician in Oxford, NC
• Providers in Oxford, NC by specialty
• Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.