Gregory Theodore Ciaccio, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

28143 Issued in AL

Practice address

8000 Al Highway 69
Guntersville, AL 35976-7140

Phone

(256) 571-8000

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Psychiatry

Education

Louisiana State University School of Medicine in New Orleans, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall Medical Center North Medical Centers Behavioral Health ClinicGroup PAC ID 6406151323, 3 clinicians

MMC Specialty CareGroup PAC ID 7911403670, 9 clinicians

MMC Inpatient Physician ServicesGroup PAC ID 9537669718, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Marshall Medical Center North Medical Centers Behavioral Health Clinic

  • Psychiatry Physician
  • Guntersville, AL
  • NPI 1790169282
  Medicare reassignment Care Compare group NPD
• MMC Inpatient Physician Services

  • Hospitalist Physician
  • Boaz, AL
  • NPI 1669362844
  Medicare reassignment Care Compare group NPD
• MMC Specialty Care

  • Specialist
  • Boaz, AL
  • NPI 1467342642
  Medicare reassignment Care Compare group NPD
• Marshall Medical Center North

  dba Ciaccio Psychiatry Services

  • Psychiatry Physician
  • Guntersville, AL
  • NPI 1285833301
  Medicare reassignment NPD
• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  NPD (past)

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

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679610760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 OAKRIDGE DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022741",
            "telephone_number": "256-571-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767140",
            "telephone_number": "256-571-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIACCIO",
        "first_name": "GREGORY",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "28143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Harold Cole, LMFT

• Psychiatry Physician in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.