DR. GREGG ALAN DICKERSON (NPI# 1699777854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699777854 |
| Entity Type | Individual |
| Full Name | DR. GREGG ALAN DICKERSON |
| Credential | M.D. |
| Practice Address |
1514 E Union St Greenville MS 38703-3248 |
| Mailing Address |
10542 Lieter Pl Lone Tree CO 80124-9786 |
| Practice Telephone | 6623326150 |
| Mailing Telephone | 3035064753 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 17812 | MS | Other Service Providers |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
47586 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | UNITEDHEALTHCARE CAQH | 10781438 | 01 |
| MN | USA MANAGED CARE ORG | 896610 | 01 |
| Street Address |
1514 E UNION ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232498 | Delta Regional Medical Center | Clinic/Center | 1514 E Union St, Greenville, MS 38703-3248 | 2020-07-22 |
| 1689869497 | Alliance Oncology LLC | Radiology | 1514 E Union St, Greenville, MS 38703-3248 | 2007-09-14 |
| 1689704173 | Bethesda Resources Inc | Radiology | 1514 E Union St, Greenville, MS 38703-3248 | 2007-03-06 |
| 1942264023 | Jeffrey Thomas Triplett | Radiology | 1514 E Union St, Greenville, MS 38703-3248 | 2006-04-14 |
| 1922072891 | Maroun E Hayek | Internal Medicine | 1514 E Union St, Greenville, MS 38703-3248 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093006 | Andrej V Hnatov | Radiology | 801 Wh Smith Blvd, Carolina Radiation Medicine, Pa, Greenville, NC 27834 | 2005-06-15 |
| 1679578009 | Dale Lemoin Duncan | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2005-06-14 |
| 1508860545 | Gordon Gary Koltis | Radiology | 801 W H Smith Blvd, Greenville, NC 27834-3764 | 2005-06-08 |
| 1821465642 | Vidant Radiation Oncology LLC | Radiology | 524 Moye Boulevard, Greenville, NC 27834-2818 | 2015-08-27 |
| 1104212026 | Aidan Michael Burke | Radiology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2015-04-07 |
| 1740686591 | St. Francis Hospital Inc | Radiology | 104 Innovation Dr, Greenville, SC 29607-5253 | 2014-11-06 |
| 1750693453 | Matthew Adrian Spear | Radiology | 600 Moye Blvd, Leo Jenkins Cancer Services, Greenville, NC 27834-4300 | 2010-07-09 |
| 1972831071 | Emory Richard Mctyre | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2009-12-01 |
| 1164675559 | Michael Philip Greenbaum | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2008-10-29 |
| 1235394081 | Andrew W Ju | Radiology | 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834-4300 | 2008-07-22 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on DR. GREGG ALAN DICKERSON.
| 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.