Individual provider Active NPI

Gregory F Schimizzi, M.D.

  • Rheumatology Physician
  • Wilmington, NC
National Provider Identifier
1811995251
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
31902 Issued in NC
Practice address
1710 S. 17TH St.
Wilmington, NC 28401-6442
Phone
(910) 762-1182
Fax
(910) 332-1111
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 31902 NC Primary

Addresses

Primary practice location

1710 S. 17TH St.
Wilmington, NC 28401-6442

Mailing address

1710 S. 17TH St.
Wilmington, NC 28401-6442
Phone (910) 762-1182

Other identifiers 1

IdentifierTypeStateIssuer
897489AMedicaidNC

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
I20100528000336 NC Practitioner - RheumatologyPractitioner - Internal Medicine 1153450275 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31902NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Arthritis Associates, P.a. Rheumatology CurrentSince Sep 25, 1991 Accepting new patients
Delaney Radiologists Group PLLC PastSince Sep 25, 1991 Accepting new patients
Health Sciences Foundation Inc. Past Accepting new patients

Locations

1710 S 17th St
Wilmington, NC 28401
Phone (910) 762-1182

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1811995251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S. 17TH ST.",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016442",
            "telephone_number": "910-762-1182",
            "fax_number": "910-332-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S. 17TH ST.",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016442",
            "telephone_number": "910-762-1182",
            "fax_number": "910-332-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMIZZI",
        "first_name": "GREGORY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "31902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897489A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.