Individual provider Active NPI

Gerald Plovsky, MD

  • Psychiatry Physician
  • Greensboro, NC
National Provider Identifier
1982641858
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34129 Issued in NC
Practice address
603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282
Phone
(336) 632-3505
Fax
(336) 632-3503
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34129 NC Primary

Addresses

Primary practice location

603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282

Mailing address

603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

Other identifiers 1

IdentifierTypeStateIssuer
8968253MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000085 NC Practitioner - Psychiatry 1759392814 Reassigns benefits to 3 organizations
Practice locations: Greensboro, NC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Virginia Commonwealth University, School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians

Practice addresses (Care Compare)

510 N Elam Ave
Suite 301
Greensboro, NC 27403-1142
Phone (336) 832-9800

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Triad Psychiatric and Counseling Center PA Psychiatry CurrentSince Apr 1, 2006 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Oct 17, 2022 Accepting new patients
FL Mental Care Corporation Psychiatry Past Accepting new patients
Vitreoretinal & Uveitis Services, PC Past Accepting new patients

Locations

1236 Huffman Mill Rd
Ste 1500
Burlington, NC 27215
Phone (336) 586-3795

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3511 W Market St
Ste 100
Greensboro, NC 27403
Phone (336) 522-8999

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1982641858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104282",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104282",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOVSKY",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "34129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8968253",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.