Individual provider Active NPI

Greta Vanbree Pittman

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1952889107
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014128 Issued in NC
Practice address
2416 Bedgood Dr NW
Wilson, NC 27893-2789
Phone
(252) 265-9200
NPI assigned
Jul 31, 2018
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014128 NC Primary
Clinical Social Worker 1041C0700X P012605 NC

Addresses

Primary practice location

2416 Bedgood Dr NW
Wilson, NC 27893-2789

Mailing address

800 Raleigh Road Pkwy W
Wilson, NC 27893-2153

Other practice location 1

800 Raleigh Road Pkwy W
Wilson, NC 27893-2153
Phone (252) 265-9200

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002790 NC Practitioner - Clinical Social Worker 8325442270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Grassi Watson PCGroup PAC ID 4183169618, 6 clinicians

Practice addresses (Care Compare)

4003 Nash St NW
Wilson, NC 27896-1130
Phone 25264024931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012605NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Grassi Watson, PC CurrentSince Feb 3, 2025 Accepting new patients
Pride in North Carolina, LLC Clinical CurrentSince Aug 6, 2021 Accepting new patients
Pride in North Carolina, LLC CurrentSince Aug 6, 2021 Accepting new patients

Locations

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

1319 N Brightleaf Blvd
Ste F
Smithfield, NC 27577
Phone (919) 934-1312

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

2416 Bedgood Dr SW
Wilson, NC 27893
Phone (252) 265-9200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1952889107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RALEIGH ROAD PKWY W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 BEDGOOD DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932789",
            "telephone_number": "252-265-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Raleigh Road Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278932153",
            "country_code": "US",
            "telephone_number": "252-265-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "GRETA",
        "middle_name": "VANBREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014128",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.