Individual provider Active NPI

Gilbert F Palmer V, MD

  • Family Medicine Physician
  • Clinton, NC
National Provider Identifier
1811933781
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99-01591 Issued in NC
Practice address
403 Fairview St
Clinton, NC 28328-2399
Phone
(910) 592-6011
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 99-01591 NC Primary

Addresses

Primary practice location

403 Fairview St
Clinton, NC 28328-2399

Mailing address

403 Fairview St
Clinton, NC 28328-2399
Phone (910) 592-6011

Other practice location 1

404 Fairview St
Clinton, NC 28328-2312
Phone (910) 592-6011

Other identifiers 6

IdentifierTypeStateIssuer
0101117OtherNCUNITED HEALTHCARE
00513783MedicaidNC
A8951OtherNCMEDCOST
560955090POtherNCCIGNA
129FYOtherNCNC BLUE CROSS BLUE SHIELD
7953358OtherNCAETNA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gilbertpalmer@cmci.allscriptsdirect.net Direct
Direct Messaging Address clintonmedicalclinic@cmci.allscriptsdirect.net Direct

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091228000312 NC Practitioner - Family Practice 6002904638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton Medical Clinic, Inc.Group PAC ID 6406821628, 14 clinicians

Practice addresses (Care Compare)

403 Fairview St
Clinton, NC 28328-2311
Phone (910) 592-6011

Hospital & facility affiliations

  • Liberty Home Care Home health agency, Dunn, NC, CCN 347306
  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • 3HC Hospice, Goldsboro, NC, CCN 341551
  • Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99-01591NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Medical Clinic, Inc. Family Medicine CurrentSince Oct 30, 2016 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

404 Fairview St
Clinton, NC 28328
Phone (910) 592-6011

403 Fairview St
Clinton, NC 28328
Phone (910) 590-0619

301 Main St
Newton Grove, NC 28366
Phone (910) 594-0003

Interoperability endpoints

  • Direct secure messaging: gilbertpalmer@cmci.allscriptsdirect.net
  • Direct secure messaging: gpalmer10892@direct.unc.nchie.net
  • Direct secure messaging: clintonmedicalclinic@cmci.allscriptsdirect.net

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.

Hospital & facility affiliations 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1811933781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 FAIRVIEW ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282399",
            "telephone_number": "910-592-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 FAIRVIEW ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282399",
            "telephone_number": "910-592-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Fairview St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283282312",
            "country_code": "US",
            "telephone_number": "910-592-6011",
            "fax_number": "910-592-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GILBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "99-01591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0101117",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00513783",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A8951",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "560955090P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS BLUE SHIELD",
            "identifier": "129FY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7953358",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gilbertpalmer@cmci.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message",
            "address_1": "403 Fairview St",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clintonmedicalclinic@cmci.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message",
            "address_1": "403 Fairview St",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.