MR. TEDDIE WAYNE GORE (NPI# 1255566154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255566154 |
| Entity Type | Individual |
| Full Name | MR. TEDDIE WAYNE GORE |
| Credential | FNP |
| Practice Address |
2100 Stantonsburg Road Echi At PCmh Greenville NC 27835 |
| Mailing Address |
Po Box 8423 Greenville NC 27835-8423 |
| Practice Telephone | 2528472181 |
| Practice Fax Number | 2528472213 |
| Mailing Telephone | 2528472181 |
| Mailing Fax Number | 2528472213 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004377 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 STANTONSBURG ROAD ECHI AT PCMH |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780635193 | Larry Michel Mcconathy | Psychologist | 2100 Stantonsburg Road, Pitt County Memorial Hospital, Psychology Department, Greenville, NC 27835-6028 | 2006-05-12 |
| 1457876138 | Sidharth Mehta | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Road, Greenville, NC 27834 | 2017-08-03 |
| 1700300019 | Deepak Donthi | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Road, Greenville, NC 27834 | 2017-07-28 |
| 1275063307 | Bridget Renee Byquist | Emergency Medicine | 2100 Stantonsburg Road, Greenville, NC 27834 | 2017-06-12 |
| 1902931231 | Ashley G. Mccabe | Nurse Practitioner | 2100 Stantonsburg Road, East Carolina Heart Institute, Greenville, NC 27835 | 2007-02-23 |
| 1154472553 | Pamela Meadors Fox | Nurse Practitioner | 2100 Stantonsburg Road, Greenville, NC 27835 | 2007-01-15 |
| 1760557920 | Kelly Ann Tiller | Physician Assistant | 2100 Stantonsburg Road, 1 South Ent/ Urology Office, Greenville, NC 27834 | 2006-11-22 |
| 1720157118 | Sydney Chhabra | Psychologist | 2100 Stantonsburg Road, Greenville, NC 27835 | 2006-11-07 |
| 1730129701 | Lyle Ray Cooper | Hospitalist | 2100 Stantonsburg Road, Greenville, NC 27835-6028 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659647485 | Lisa Dawn Collins | Speech-Language Pathologist | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2012-03-27 |
| 1093998056 | Patrice Elaine Alexander | Counselor | 801 Mumford Road, Greenville, NC 27835 | 2007-12-13 |
| 1104946433 | Rosa Bradley Home for Adults | Assisted Living Facility | 2215 North Memorial Drive, Greenville, NC 27835 | 2007-03-30 |
| 1740237965 | Timothy Bart Guin | Nurse Practitioner | 2100 Stantonsburg Rd., Greenville, NC 27835 | 2006-05-31 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1730628629 | Elizabeth Mclawhorn | Physician Assistant | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2017-02-13 |
| 1841571049 | Destini Hardy-stover | Occupational Therapist | 2100 Stantonsburg Rd, Greenville, NC 27835 | 2011-08-31 |
| 1144647041 | Amal Idris Ahmed Elhaj | Psychiatry & Neurology | 9 Medical Drive, Building 9 A, Greenville, NC 27835-2818 | 2014-03-28 |
| 1972585800 | Healthaccess, Inc. | Home Health | 1005 W H Smith Blvd, Greenville, NC 27835-5052 | 2005-11-16 |
| 1225198997 | Susan R Redding | Nurse Practitioner | P H County Memorial Hospital, 2100 Stantonsburg Rd, Greenville, NC 27835-6028 | 2006-12-11 |
| Find all providers in zip 27835 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27835 |
Please comment or provide details below to improve the information on MR. TEDDIE WAYNE GORE.
| 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.