Individual provider Active NPI

Gregory Edward Reichert, D.O.

  • Family Medicine Physician
  • Morehead City, NC
National Provider Identifier
1700107562
Registry record updated Dec 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201301114 Issued in NC
Practice address
505 N 35TH St
Morehead City, NC 28557-3120
Phone
(252) 726-8414
Fax
(252) 726-9172
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201301114 NC Primary

Addresses

Primary practice location

505 N 35TH St
Morehead City, NC 28557-3120

Mailing address

505 N 35TH St
Morehead City, NC 28557-3120
Phone (252) 726-8414

Other identifiers 4

IdentifierTypeStateIssuer
6753993OtherNCCIGNA
P01262321OtherNCRAILROAD MEDICARE
4966866OtherNCAETNA
180A0OtherNCBCBS OF NC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000603 NC Practitioner - Family Practice 8123262052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crystal Coast Family PracticeGroup PAC ID 4486620887, 12 clinicians

Practice addresses (Care Compare)

505 N 35TH St
Morehead City, NC 28557-3120
Phone (252) 726-8414

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Morehead City, NC, CCN 347171
  • Carteret Health Care Home Health and Hospice Home health agency, Morehead City, NC, CCN 347042
  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Coast Family Practice Family Medicine CurrentSince Sep 3, 2013 Accepting new patients

Locations

540 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 393-2532

505 N 35th St
Morehead City, NC 28557
Phone (252) 247-1209

Interoperability endpoints

  • Direct secure messaging: gregoryreichert@ccfp.allscriptsdirect.net

Organizations & group practices 1

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 5

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481414400000",
    "number": "1700107562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573120",
            "telephone_number": "252-726-8414",
            "fax_number": "252-726-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573120",
            "telephone_number": "252-726-8414",
            "fax_number": "252-726-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "GREGORY",
        "middle_name": "EDWARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2016-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201301114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6753993",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01262321",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4966866",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "180A0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.