Active NPI
Gordon Reginald Reeves, MD
- Cardiovascular Disease Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2007-00568
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-3578 - Phone
- (336) 716-6674
- NPI assigned
- Jun 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2007-00568 | NC | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 2007-00568 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | MD434416 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 2007-00568 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-3578
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674
Other practice location 1
925 Chestnut Street
Mezzanine Floor
Philadelphia, PA 19107-4201
Phone (215) 955-5050
Other practice location 2
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Phone (704) 343-9800
Other practice location 3
1718 E 4th St Ste 501
Charlotte, NC 28204
Phone (704) 343-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027229750001 | Medicaid | PA | |
| 0308234 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | greeves713800@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
Hospital & facility affiliations
- Unc Hospitals
- North Carolina Baptist Hospital
- Novant Health Presbyterian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-00568 | NC | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Internal Medicine | Current | Accepting new patients |
| University of North Carolina Hospitals at Chapel Hill | Past | Accepting new patients | |
| Park Ophthalmology | Past | Accepting new patients |
Locations
6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997
100 Eastowne Dr
Fl 14
Chapel Hill, NC 27514
Phone (984) 215-5556
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164
3634 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 485-6470
460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444
430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Internal Medicine
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
-
- Pediatric Nutrition Registered Dietitian
- Chapel Hill, NC
- NPI 1861415804
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1760687552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-6674",
"fax_number": "336-716-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271573578",
"telephone_number": "336-716-6674"
}
],
"practiceLocations": [
{
"address_1": "925 Chestnut Street",
"address_2": "Mezzanine Floor",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074201",
"country_code": "US",
"telephone_number": "215-955-5050",
"fax_number": "215-955-7499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Queens Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043578",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 E 4th St Ste 501",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEVES",
"first_name": "GORDON",
"middle_name": "REGINALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2007-00568",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "NC",
"license": "2007-00568",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD434416",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2007-00568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027229750001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0308234",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "greeves713800@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1718 E 4th St Ste 501",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "28204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.