Active NPI
Gregory James Monk, PA-C
- Physician Assistant
- Goose Creek, SC
National Provider Identifier
1851353577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1060858
- Practice address
- 110 Naval Nuclear Power Training Command Cir
Goose Creek, SC 29445 - Phone
- (760) 792-9073
- NPI assigned
- Apr 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1060858 | SC | Primary |
Addresses
Primary practice location
110 Naval Nuclear Power Training Command Cir
Goose Creek, SC 29445
Mailing address
246 Great Lawn Dr
Summerville, SC 29486-8258
Phone (760) 792-9073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1060858 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1851353577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 GREAT LAWN DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294868258",
"telephone_number": "760-792-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NAVAL NUCLEAR POWER TRAINING COMMAND CIR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "29445",
"telephone_number": "760-792-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONK",
"first_name": "GREGORY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1060858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.