Charles M Gremillion Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

57634 Issued in FL

Practice address

2400 S McCall Rd
Suite a
Englewood, FL 34224-5137

Phone

(941) 460-9159

Fax

(941) 460-9419

NPI assigned

Jan 13, 2006

Last updated

May 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in New Orleans, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Retina and Macula Consultants PA

  • Ophthalmology Physician
  • Englewood, FL
  • NPI 1922295641
  Medicare reassignment NPD Authorized official
• Dan Hoffman MD PA

  dba Eye Centers of South Florida

  • Ophthalmology Physician
  • N Miami Beach, FL
  • NPI 1902964604
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Port Charlotte Inc

  dba Adventhealth Port Charlotte

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1871572164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S MCCALL RD",
            "address_2": "SUITE A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245137",
            "telephone_number": "941-460-9159",
            "fax_number": "941-460-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S MCCALL RD",
            "address_2": "SUITE A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245137",
            "telephone_number": "941-460-9159",
            "fax_number": "941-460-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMILLION",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "57634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0569437",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Grabowski
• Cathleen Jane Graham, CRNA
• Grand Villa of Englewood, LLC
• Brian Clay Greene, MD
• Rachel M Gregoroff, C.R.N.P
• Darla Griswold
• Guardian Angel Foot Care of Bradenton Venice and Englewood Inc
• Ella Marie Guastavino, M.D.
• Lauren Guillot, DDS
• Ashraf Adib Guindi, MD

• Ophthalmology Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.