NPIMap

Organization Active NPI

Geps Physician Group of North Carolina PC

  • Adult Health Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1831527308
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
C201324900271 Issued in NC
Legal business name
GEPS PHYSICIAN GROUP OF NORTH CAROLINA PC
Practice address
6508 Deer Pointe Dr Ste a
Salisbury, MD 21804
Phone
(410) 543-1957
Fax
(410) 543-2951
NPI assigned
Oct 21, 2013
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Eric Shapiro
Title
Vice President/Area Controller
Phone
(410) 832-7790

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C201324900271 NC
Nurse Practitioner 363L00000X C201324900271 NC
Adult Health Nurse Practitioner 363LA2200X C201324900271 NC Primary
Gerontology Nurse Practitioner 363LG0600X C201324900271 NC
Internal Medicine Physician 207R00000X C201324900271 NC
Geriatric Medicine (Internal Medicine) Physician 207RG0300X C201324900271 NC
Pulmonary Disease Physician 207RP1001X C201324900271 NC

Addresses

Primary practice location

6508 Deer Pointe Dr Ste a
Salisbury, MD 21804

Mailing address

6508 Deer Pointe Dr Ste a
Salisbury, MD 21804-1668
Phone (410) 494-7607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140326002281 NC Part B Supplier - Clinic/Group Practice 8123259645 Receives reassigned benefits from 6 practitioners
Practice locations: Sparta, NC; Siler City, NC; Salisbury, NC; Pembroke, NC; Mount Olive, NC; Lexington, NC; Huntersville, NC; High Point, NC…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1831527308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 DEER POINTE DR STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041668",
            "telephone_number": "410-494-7607",
            "fax_number": "410-543-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 DEER POINTE DR STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-543-1957",
            "fax_number": "410-543-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEPS PHYSICIAN GROUP OF NORTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VICE PRESIDENT/AREA CONTROLLER",
        "authorized_official_telephone_number": "410-832-7790"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "C201324900271",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "C201324900271",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "C201324900271",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "C201324900271",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "C201324900271",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "C201324900271",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "C201324900271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.