Individual provider Active NPI

Tameika Gay, LCSWA

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1700290954
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008827 Issued in NC
Practice address
2317 Executive Cir Ste B
Greenville, NC 27834-3762
Phone
(252) 551-5544
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P008827 NC Primary

Addresses

Primary practice location

2317 Executive Cir Ste B
Greenville, NC 27834-3762

Mailing address

2317 Executive Cir Ste B
Greenville, NC 27834-3762
Phone (252) 551-5544

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001825 NC Practitioner - Clinical Social Worker 3274942826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P008827NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Person Centered Support Consulting Services LLC CurrentSince Feb 25, 2021 Accepting new patients

Locations

2040 S Park Dr
Ste F
Winterville, NC 28590
Phone (252) 565-2366

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.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1700290954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 EXECUTIVE CIR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343762",
            "telephone_number": "252-551-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 EXECUTIVE CIR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343762",
            "telephone_number": "252-551-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "TAMEIKA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.