Greensboro Endocrinology and Diabetes

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

136691 Issued in NC

Legal business name

GREENSBORO ENDOCRINOLOGY AND DIABETES

Practice address

1002 N. Church Street
Suite 400
Greensboro, NC 27401-1450

Phone

(336) 378-1076

Fax

(336) 378-0867

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Charles G. Gegick, M.D.

Title

Partner

Phone

(336) 378-1076

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1700901832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N. CHURCH STREET",
            "address_2": "SUITE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011450",
            "telephone_number": "336-378-1076",
            "fax_number": "336-378-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N. CHURCH STREET",
            "address_2": "SUITE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011450",
            "telephone_number": "336-378-1076",
            "fax_number": "336-378-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO ENDOCRINOLOGY AND DIABETES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "GEGICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-378-1076",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": "136691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0133F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890133F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nutrition Education Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.