Active NPI
Gregg A Gober, MD
- Orthopaedic Surgery Physician
- Greenville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 13979
- Practice address
- 1693 S Colorado St
Greenville, MS 38703-7211 - Phone
- (662) 332-8700
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 13979 | MS | Primary |
Addresses
Primary practice location
1693 S Colorado St
Greenville, MS 38703-7211
Mailing address
PO Box 23998
Jackson, MS 39225-3998
Phone (662) 725-2749
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00316067 | Other | RR MEDICARE | |
| 00114112 | Medicaid | MS | |
| 5J806 | Other | AR | MEDICARE AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Arkansas College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone (662) 378-3783
Hospital & facility affiliations
- Delta Health System - the Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13979 | MS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Medical Group | Orthopaedic Surgery | Current | Accepting new patients |
| Delta Physician Practices | Past | Accepting new patients |
Locations
2918 Louis Sessions St
Lake Village, AR 71653
Phone (870) 265-5343
1693 S Colorado St
Greenville, MS 38703
Phone (662) 332-3005
1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1477565166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23998",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253998",
"telephone_number": "662-725-2749",
"fax_number": "662-725-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1693 S COLORADO ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037211",
"telephone_number": "662-332-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBER",
"first_name": "GREGG",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MS",
"license": "13979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00316067",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114112",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE AR",
"identifier": "5J806",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.