Individual provider Active NPI

Gregory Marc Weiss, M.D.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1902072861
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
128-162 Issued in NC
Practice address
859 Washington St
Raleigh, NC 27605-3259
Phone
(919) 828-9937
Fax
(919) 828-4287
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101265676 VA
Psychiatry Physician 2084P0800X 128-162 NC Primary

Addresses

Primary practice location

859 Washington St
Raleigh, NC 27605-3259

Mailing address

859 Washington St
Raleigh, NC 27605-3259
Phone (919) 828-9937

Other practice location 1

504 Wilborn Ave Fl 5
South Boston, VA 24592-3120
Phone (434) 517-3400

Other practice location 2

1020 First Colonial Rd Ste A
Virginia Beach, VA 23454-3078
Phone (757) 395-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190308002151 VA Practitioner - Psychiatry 2466751706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Columbia University College of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dominion Health Medical AssocGroup PAC ID 1254311558, 35 clinicians

Practice addresses (Care Compare)

504 Wilborn Ave
South Boston, VA 24592-3120
Phone (434) 517-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128-162NCMDPsychiatry Physician
0101265676VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jun 22, 2022 Accepting new patients
Dominion Health Medical Associates LTD CurrentSince Apr 14, 2020 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Dominion Health Medical Assoc CurrentSince Apr 14, 2020 Accepting new patients
Psychiatric Associates of NC, PA Psychiatry PastSince Jan 1, 1994 Accepting new patients
Dominion Health Medical Assoc. Past Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

504 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3400

504 Wilborn Ave
Fl 5
South Boston, VA 24592
Phone (434) 517-3400

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

1080 First Colonial Rd
Ste 403
Virginia Beach, VA 23454
Phone (757) 496-6537

1020 First Colonial Rd
Ste A
Virginia Beach, VA 23454
Phone (757) 395-5342

Interoperability endpoints

  • Direct secure messaging: gweiss528363@direct.sentara.net

Organizations & group practices 6

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1902072861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053259",
            "telephone_number": "919-828-9937",
            "fax_number": "919-828-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053259",
            "telephone_number": "919-828-9937",
            "fax_number": "919-828-4287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Wilborn Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245923120",
            "country_code": "US",
            "telephone_number": "434-517-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 First Colonial Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543078",
            "country_code": "US",
            "telephone_number": "757-395-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "GREGORY",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101265676",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "128-162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.