Active NPI
John Reginald Collier, M.D.
- Specialist
- Gastonia, NC
National Provider Identifier
1669467262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 21759
- Practice address
- 2520 Aberdeen Blvd
Gastonia, NC 28054-0635 - Phone
- (704) 868-8400
- Fax
- (704) 868-8493
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 21759 | NC | Primary |
Addresses
Primary practice location
2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Mailing address
2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Phone (704) 868-8400
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019464 | Other | NC | AETNA HEALTHCARE |
| N21759 | Other | SC | SOUTH CAROLINA MEDICAID |
| 1549303004 | Other | NC | CIGNA HEALTHCARE |
| 23777 | Other | NC | BLUE CROSS BLUE SHIELD |
| 53853 | Other | NC | MEDCOST |
| 8923777 | Medicaid | NC | |
| 10-41172 | Other | NC | UNITED HEALTHCARE |
| 168236 | Other | NC | MIDSOUTH INS |
| 2103803 | Other | NC | MAMSI |
| 343001 | Other | NC | COVENTRY HEALTHCARE |
| 10309 | Other | NC | PARTNERS HEALTHPLAN |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21759 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669467262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 ABERDEEN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540635",
"telephone_number": "704-868-8400",
"fax_number": "704-868-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ABERDEEN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540635",
"telephone_number": "704-868-8400",
"fax_number": "704-868-8493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "JOHN",
"middle_name": "REGINALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "21759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "2019464",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA MEDICAID",
"identifier": "N21759",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "1549303004",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "23777",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "53853",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8923777",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "10-41172",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDSOUTH INS",
"identifier": "168236",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2103803",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTHCARE",
"identifier": "343001",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS HEALTHPLAN",
"identifier": "10309",
"state": "NC"
}
],
"endpoints": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.