Active NPI
Gary J. Schreck, ANP
- Adult Health Nurse Practitioner
- Gastonia, NC
National Provider Identifier
1598849028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0050-02239
- Practice address
- 2544 Court Dr
Suite F
Gastonia, NC 28054-3450 - Phone
- (704) 864-8302
- Fax
- (704) 864-0228
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0050-02239 | NC | Primary |
Addresses
Primary practice location
2544 Court Dr
Suite F
Gastonia, NC 28054-3450
Mailing address
1300 Baxter St Ste 215
Charlotte, NC 28204-3106
Phone (704) 332-0366
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | garyschreck@mnapa.allscriptsdirect.net | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-02239 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Past | Accepting new patients | |
| Carroll County Nephrology LLC | Past | Accepting new patients |
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.
-
- Nephrology Physician
- Carrollton, GA
- NPI 1285814988
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1598849028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 BAXTER ST STE 215",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043106",
"telephone_number": "704-332-0366",
"fax_number": "704-971-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 COURT DR",
"address_2": "SUITE F",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543450",
"telephone_number": "704-864-8302",
"fax_number": "704-864-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRECK",
"first_name": "GARY",
"middle_name": "J.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "0050-02239",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "garyschreck@mnapa.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Allscripts Direct Messaging Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CED",
"address_1": "2544 Court Dr",
"address_2": "Suite F",
"city": "Gastonia",
"state": "NC",
"country_code": "US",
"postal_code": "280543450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.