Individual provider Active NPI

Gregory Clark Borstad

  • Rheumatology Physician
  • Wilmington, NC
National Provider Identifier
1528057056
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2014-00896 Issued in NC
Practice address
1710 S 17TH St
Wilmington, NC 28401-6442
Phone
(910) 762-1182
NPI assigned
Oct 18, 2005
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2014-00896 NC Primary
Hospitalist Physician 208M00000X 2014-00896 NC

Addresses

Primary practice location

1710 S 17TH St
Wilmington, NC 28401-6442

Mailing address

1710 S 17TH St
Wilmington, NC 28401-6442
Phone (910) 762-1182

Other practice location 1

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-8383

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141010001122 NC Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Rheumatology 6002802006 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Arthritis Associates PAGroup PAC ID 2860481777, 5 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Columbus Regional Health NetworkGroup PAC ID 6608924931, 48 clinicians
Scotland Regional Health NetworkGroup PAC ID 2365573185, 67 clinicians

Practice addresses (Care Compare)

1710 S 17TH St
Wilmington, NC 28401-6442
Phone (910) 762-1182

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 641-8600

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 277-9164

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Carolina Arthritis Associates, P.a. Rheumatology CurrentSince Sep 15, 2014 Accepting new patients
Columbus Regional Health Network Hospitalist Current Accepting new patients
Novant Health Medical Group, LLC Hospitalist CurrentSince Feb 1, 2024 Accepting new patients
Columbus Regional Health Network CurrentSince Nov 21, 2016 Accepting new patients
Scotland Regional Health Network CurrentSince Nov 21, 2016 Accepting new patients
Columbus Regional Health Network CurrentSince Nov 21, 2016 Accepting new patients
Scotland Regional Health Network CurrentSince Nov 21, 2016 Accepting new patients
Scotland Regional Health Network Hospitalist Current Accepting new patients
Columbus Regional Health Network Past Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

1710 S 17th St
Wilmington, NC 28401
Phone (910) 762-1182

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: gborstad1307435@direct.novanthealth.org
  • Direct secure messaging: gregory.borstad.p1@direct.caa.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1528057056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016442",
            "telephone_number": "910-762-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016442",
            "telephone_number": "910-762-1182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Silas Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033013",
            "country_code": "US",
            "telephone_number": "336-718-8383",
            "fax_number": "336-718-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORSTAD",
        "first_name": "GREGORY",
        "middle_name": "CLARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2014-00896",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2014-00896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.