Individual provider Active NPI

Mark Wayne Gregson, FNP

  • Family Nurse Practitioner
  • Madison, NC
National Provider Identifier
1942931209
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016397 Issued in NC
Practice address
401 W Decatur St
Madison, NC 27025-1913
Phone
(336) 548-9618
Fax
(336) 584-4877
NPI assigned
Jun 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 271678 NC
Nurse Practitioner 363L00000X 5016397 NC
Family Nurse Practitioner 363LF0000X 5016397 NC Primary

Addresses

Primary practice location

401 W Decatur St
Madison, NC 27025-1913

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

240 Broad St
Kernersville, NC 27284-2930
Phone (336) 993-8333

Other practice location 2

1471 Jag Branch Blvd Unit 101
Kernersville, NC 27284-6963
Phone (336) 515-7420

Other practice location 3

3431 Walkertown Commons Dr
Walkertown, NC 27051-9152
Phone (336) 564-4101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705000072 NC Practitioner - Nurse Practitioner 3971987272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
271678NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group LLC CurrentSince May 21, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Moses Cone Medical Services, Inc. Nurse Practitioner CurrentSince Dec 8, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 21, 2023 Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

1471 Jag Branch Blvd
Unit 101
Kernersville, NC 27284
Phone (336) 515-7420

401 W Decatur St
Madison, NC 27025
Phone (336) 548-9618

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mgregson177226@direct.novanthealth.org

Organizations & group practices 4

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1942931209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W DECATUR ST",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270251913",
            "telephone_number": "336-548-9618",
            "fax_number": "336-584-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Broad St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842930",
            "country_code": "US",
            "telephone_number": "336-993-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1471 Jag Branch Blvd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272846963",
            "country_code": "US",
            "telephone_number": "336-515-7420",
            "fax_number": "336-515-7430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3431 Walkertown Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Walkertown",
            "state": "NC",
            "postal_code": "270519152",
            "country_code": "US",
            "telephone_number": "336-564-4101",
            "fax_number": "336-595-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGSON",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "271678",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NC

Sources for this page

Verify at the official NPI Registry.