Individual provider Active NPI

Gregory Walker Pippin, M.D.

  • Otolaryngology Physician
  • Fargo, ND
National Provider Identifier
1700966090
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
24211 Issued in ND
Practice address
801 Broadway N
Fargo, ND 58102-3641
Phone
(701) 234-2000
Fax
(701) 234-2345
NPI assigned
Oct 17, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 33163 MS
Otolaryngology Physician 207Y00000X 24211 ND Primary
Facial Plastic Surgery Physician 207YS0123X 14971R LA
Facial Plastic Surgery Physician 207YS0123X 33163 MS

Addresses

Primary practice location

801 Broadway N
Fargo, ND 58102-3641

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

405 Marion Ave
McComb, MS 39648-2709
Phone (601) 684-1250

Other names 1

  • Greg Pippin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040107000919 LA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Emergency Medicine 8022917129 Reassigns benefits to 2 organizations
I20240619001920 MS Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8022917129 Reassigns benefits to 2 organizations
I20260427000141 MN Practitioner - Otolaryngology 8022917129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Southwest Mississippi Ear Nose and Throat Clinic PAGroup PAC ID 0244330686, 4 clinicians

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

405 Marion Ave
McComb, MS 39648-2709
Phone (601) 684-1250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24211NDMDOtolaryngology Physician
14971RLAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Mississippi Ear, Nose & Throat Clinic, P.a. Otolaryngology CurrentSince Jul 1, 2024 Accepting new patients
Mississippi Otolaryngology Head and Neck Surgery Otolaryngology CurrentSince Jan 1, 2025 Accepting new patients
Louisiana Cosmetic Surgery Center, L.L.C. Facial Plastic Surgery PastSince Nov 1, 2003 Accepting new patients

Locations

109 W Minnesota Park Rd
Ste 5
Hammond, LA 70403
Phone (601) 684-1250

405 Marion Ave
McComb, MS 39648
Phone (601) 684-1250

405 Marion Ave
Ste A
McComb, MS 39648
Phone (504) 905-7033

Interoperability endpoints

  • Direct secure messaging: gpippin5297159@direct.casso.us.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1700966090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-2000",
            "fax_number": "701-234-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482709",
            "country_code": "US",
            "telephone_number": "601-684-1250",
            "fax_number": "601-684-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "GREGORY",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "33163",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ND",
            "license": "24211",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "LA",
            "license": "14971R",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MS",
            "license": "33163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "PIPPIN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.