Active NPI
Paul Melvin Gregory Jr., NP-C
- Adult Health Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0050-02296
- Practice address
- 1830 S Hawthorne Rd
Winston Salem, NC 27103-4014 - Phone
- (336) 765-0463
- Fax
- (336) 768-9452
- NPI assigned
- May 1, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0050-02296 | NC | Primary |
Addresses
Primary practice location
1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Mailing address
1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 765-0463
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pgregory105341@direct.novanthealth.org | Health Information Exchange (HIE) | GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A. |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103-3915
Phone (336) 448-2427
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.25 of 100
- Quality
- 87.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-02296 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of the Piedmont, P.a. | Current | Accepting new patients | |
| Gastroenterology Associates of the Piedmont, P.a. | Current | Accepting new patients |
Locations
445 Pineview Dr
Ste 200B
Kernersville, NC 27284
Phone (336) 448-2427
1901 S Hawthorne Rd
Ste 310
Winston Salem, NC 27103
Phone (336) 448-2427
1830 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 448-2427
Interoperability endpoints
- pgregory105341@direct.novanthealth.org
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.
-
- Endoscopy Clinic/Center
- Winston Salem, NC
- NPI 1679687586
-
- Gastroenterology Physician
- Winston Salem, NC
- NPI 1336585561
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1609097666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034014",
"telephone_number": "336-765-0463",
"fax_number": "336-768-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034014",
"telephone_number": "336-765-0463",
"fax_number": "336-768-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "PAUL",
"middle_name": "MELVIN",
"name_suffix": "Jr.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "0050-02296",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgregory105341@direct.novanthealth.org",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1830 S Hawthorne Rd",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271034014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.