Organization Active NPI

Gateway Integrative Services, Inc.

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1952532145
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GATEWAY INTEGRATIVE SERVICES, INC.
Practice address
2470 Emerald PL
Suite a
Greenville, NC 27834-5786
Phone
(404) 593-1320
Fax
(252) 321-4829
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Mr. Dontavius Kentwan Bibbs
Title
Administrator
Phone
(404) 593-1320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2470 Emerald PL
Suite a
Greenville, NC 27834-5786

Mailing address

PO Box 20702
Greenville, NC 27858-0702
Phone (404) 593-1320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1952532145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20702",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278580702",
            "telephone_number": "404-593-1320",
            "fax_number": "252-321-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 EMERALD PL",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345786",
            "telephone_number": "404-593-1320",
            "fax_number": "252-321-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY INTEGRATIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "BIBBS",
        "authorized_official_first_name": "DONTAVIUS",
        "authorized_official_middle_name": "KENTWAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-593-1320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.