DR. NICOLE GASKINS GREYSHOCK (NPI# 1063689826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063689826 |
| Entity Type | Individual |
| Full Name | DR. NICOLE GASKINS GREYSHOCK |
| Other Name | DR. NICOLE DEHAVEN GASKINS |
| Credential | MD |
| Practice Address |
405 Owen Dr Fayetteville NC 28304-3411 |
| Practice Telephone | 9103233183 |
| Mailing Telephone | 9103233183 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2015-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2011-00216 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2011-00216 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
405 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576003 | Katherine Jane Griesser | Physical Therapist | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2005-05-31 |
| 1659988111 | Kristina Erika Metz | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2020-09-29 |
| 1003445636 | Mackenzie Jean Eikamp | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2020-04-06 |
| 1437613361 | Georgina Ishak | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2019-01-24 |
| 1447739149 | Rdmg Associates, Pa | Internal Medicine | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2018-08-13 |
| 1235623554 | Jeffrey Thomas Riorden | Nurse Practitioner | 405 Owen Dr, Fayetteville, NC 28304 | 2018-06-20 |
| 1710287263 | Stacie A Sidebotham | Nurse Practitioner | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2010-11-01 |
| 1972803617 | Cape Fear Family Medical Care | Specialist | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2010-10-28 |
| 1467779322 | James John Richard | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304 | 2010-04-30 |
| 1578791422 | Shireesha Sangineni | Family Medicine | 405 Owen Dr, Fayetteville, NC 28304 | 2009-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255758868 | Washington Regional Medical System | Internal Medicine | 82 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2014-03-20 |
| 1609197318 | Anuradha Guthikonda | Internal Medicine | 1265 Highway 24 West, Suite 302, Fayetteville, GA 30214 | 2010-06-16 |
| 1851427991 | Fayetteville Endocrinology and Diabetes Clinic Pa | Internal Medicine | 105 Roxie Ave, Fayetteville, NC 28304-2123 | 2007-02-25 |
| 1710043492 | Kelly Natasha Wood | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214 | 2006-12-28 |
| 1558527127 | Annie Quinn Morrissey | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214-4537 | 2008-08-04 |
| 1598929747 | Yvonne Weledji Ngale | Internal Medicine | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2008-07-17 |
| 1952561599 | Lauren B Hawkins | Internal Medicine | 3 East Appleby Rd., Suite 202, Fayetteville, AR 72703-4424 | 2008-06-16 |
| 1760418800 | Hermann J Wendorff | Internal Medicine | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184030595 | Eric Lewis | Internal Medicine | 306 Parkridge Ave, Chapel Hill, NC 27517-8137 | 2014-07-07 |
| 1588077176 | Greensboro Endocrinology Pllc | Internal Medicine | 7 Corporate Center Ct Ste C, Greensboro, NC 27408-3839 | 2014-06-11 |
| 1043656770 | Thomas Cary Cameron | Internal Medicine | Division of Endocrinology & Metabolism, 8025 Burnett Womack Building, Chapel Hill, NC 27599-7170 | 2013-05-21 |
| 1033489216 | Tesfaye D Fanta Md Pllc | Internal Medicine | 910 W Harrison St, Reidsville, NC 27320-3324 | 2012-01-05 |
| 1548556749 | Leah Elizabeth Kang-oh | Internal Medicine | 755 Highland Oaks Dr Suite 201, Winston-salem, NC 27103 | 2011-06-26 |
| 1558656702 | Diabetes Management Solutions | Internal Medicine | 1100 Navaho Dr Ste 249, Raleigh, NC 27609-7364 | 2011-06-16 |
| 1174813570 | Chinenyenwa Usoh | Internal Medicine | 4610 Country Club Rd, Winston Salem, NC 27104-3520 | 2011-04-19 |
| 1366745259 | Carolinas Physicians Network Inc | Internal Medicine | 908 Donita Drive, Lincolnton, NC 28092-3643 | 2010-12-15 |
| 1982916342 | Vengamamba Polu | Internal Medicine | 701 Doctors Dr Ste D, Kinston, NC 28501-1584 | 2010-07-13 |
| 1073838132 | Alexandria Atuahene Opata | Internal Medicine | 16525 Holly Crest Ln Ste 230, Huntersville, NC 28078-4912 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.