Individual provider Active NPI

Gregory P McCormick, P.A.

  • Medical Physician Assistant
  • Milton, MA
National Provider Identifier
1801898390
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1669 Issued in MA
Practice address
100 Highland St
Suite 222
Milton, MA 02186-3881
Phone
(617) 696-0660
Fax
(617) 696-6655
NPI assigned
Aug 15, 2005
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1669 MA Primary

Addresses

Primary practice location

100 Highland St
Suite 222
Milton, MA 02186-3881

Mailing address

100 Highland St
Suite 222
Milton, MA 02186-3881
Phone (617) 696-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000770 MA Practitioner - Physician Assistant 9436040797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Surgical Associates LLCGroup PAC ID 1355527110, 2 clinicians
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

100 Highland St
Suite 123
Milton, MA 02186-3881
Phone (617) 698-8585

100 Highland St
Suite 222
Milton, MA 02186-3879
Phone (617) 696-0660

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 696-4600

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1669MAMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Apr 16, 2023 Accepting new patients
Quincy Physician Corporation Past Accepting new patients
Gregory Kechejian Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Community Physicians Associates, Inc. Past Accepting new patients
Steward Medical Group Inc. Past Accepting new patients

Locations

100 Highland St
Ste 123
Milton, MA 02186
Phone (617) 696-3411

100 Highland St
Ste 222
Milton, MA 02186
Phone (617) 696-0660

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

Organizations & group practices 8

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1801898390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 222",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-0660",
            "fax_number": "617-696-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 222",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-0660",
            "fax_number": "617-696-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "GREGORY",
        "middle_name": "P",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.