Individual provider Active NPI

Gregory William Berger, FNP-BC

  • Family Nurse Practitioner
  • Camden, SC
National Provider Identifier
1609406453
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23576 Issued in SC
Practice address
1009 Fairlawn Dr
Camden, SC 29020-4525
Phone
(803) 432-2540
NPI assigned
Jan 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23576 SC Primary

Addresses

Primary practice location

1009 Fairlawn Dr
Camden, SC 29020-4525

Mailing address

1009 Fairlawn Dr
Camden, SC 29020-4525
Phone (803) 432-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200414001497 SC Practitioner - Nurse Practitioner 8022448182 Reassigns benefits to 1 organization
I20210421002291 LA Practitioner - Nurse Practitioner 8022448182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-1297

Hospital & facility affiliations

  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
68.02
Improvement activities
40
Cost
76.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23576SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
New Orleans Physician Services Inc Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients

Locations

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

3826 General Degaulle Dr
New Orleans, LA 70114
Phone (504) 362-2829

3712 MacArthur Blvd
New Orleans, LA 70114
Phone (504) 366-5032

3712 MacArthur Blvd
Ste 202
New Orleans, LA 70114
Phone (504) 368-4066

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1609406453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 FAIRLAWN DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204525",
            "telephone_number": "803-432-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FAIRLAWN DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204525",
            "telephone_number": "803-432-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

Verify at the official NPI Registry.