Gregory L Gregg, CASEMANAGER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

821 Douglas Ave
185
Altamonte Springs, FL 32714-5210

Phone

(407) 703-5959

NPI assigned

May 30, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Destiny Behavioral Health Services

  • Community/Behavioral Health Agency
  • Altamonte Springs, FL
  • NPI 1548608441
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1942647003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DOUGLAS AVE",
            "address_2": "185",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145210",
            "telephone_number": "407-703-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 DOUGLAS AVE",
            "address_2": "185",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145210",
            "telephone_number": "407-703-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "GREGORY",
        "middle_name": "L",
        "credential": "CASEMANAGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003564600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenberg Dental Specialty Group
• Andrew W. Greenberg, DDS
• Joel Dean Greenberg, MD
• Charlene Greene
• Anaysha K Greenidge, LMT
• Gregory P Samano II DO PA
• Donna Greifer, PHD
• Darryl Louis Griffin, LCSW
• Joann Griffin
• Debra Violett Grindstaff, LCSW

• Case Manager/Care Coordinator in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.