JUSTIN WAYNE GREGG (NPI# 1710208939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710208939 |
| Entity Type | Individual |
| Full Name | JUSTIN WAYNE GREGG |
| Credential | M.D. |
| Practice Address |
200 Patewood Dr Suite B300 Greenville SC 29615-3593 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644544200 |
| Mailing Telephone | 8647976306 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4228 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
39944 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
39944 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093072324 | Justin Gregg | Student in an Organized Health Care Education/Training Program | D-4314 Medical Center North, Nashville, TN 37232-2730 | 2012-04-11 |
| Street Address |
200 PATEWOOD DR SUITE B300 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861345 | John Kim Johnson | Neurological Surgery | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2005-06-17 |
| 1255941241 | Sharmaine Barnes | Specialist/Technologist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2020-08-04 |
| 1598320897 | Yana Ginzburg | Physical Therapist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2019-05-02 |
| 1457891228 | Sierra R Williams | Nurse Practitioner | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2017-02-27 |
| 1063951333 | Megan Lee Hiott | Nurse Practitioner | 200 Patewood Dr, A330, Greenville, SC 29615-3593 | 2017-02-19 |
| 1316485394 | Anita Suzette Combs | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-02-09 |
| 1730626813 | Lauren Lee Hays | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-01-26 |
| 1497200083 | Abigail Pellett | Physical Therapist | 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 | 2016-08-24 |
| 1033664909 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2016-08-22 |
| 1144775032 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Building A, Greenville, SC 29615-3593 | 2016-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1649217704 | Fady F Nassif | Internal Medicine | 200 Patewood Dr Ste B300, Greenville, SC 29615-6338 | 2006-05-31 |
| 1467440354 | John J Chabalko | Internal Medicine | 3710 Kennett Pike, Greenville Medical Center II, Greenville, DE 19807-2157 | 2005-10-13 |
| 1497747075 | Yash P Kataria | Internal Medicine | 521 Moye Blvd 1st Floor, Ecu Physicians Pulmonary/critical Care, Greenville, NC 27834-2849 | 2005-08-18 |
| 1639176951 | Freddie E Wilson | Internal Medicine | 357 Woodruff Rd, Greenville, SC 29607-3415 | 2005-07-01 |
| 1912901653 | Robert A. Shaw | Internal Medicine | 521 Moye Blvd, Ecu Physicians Pulmonary and Critical Care, Greenville, NC 27834-2849 | 2005-06-10 |
| 1033112081 | John Patrick Fogarty | Internal Medicine | 1850 W Arlington Blvd, Greenville, NC 27834-5704 | 2005-05-23 |
| 1407294234 | Jennifer Lauren Lindsey | Internal Medicine | 521 Moye Blvd, Greenville, NC 27834-2849 | 2013-06-14 |
| 1043505670 | Sean P Callahan | Internal Medicine | 200 Patewood Dr Ste B300, Greenville, SC 29615-6338 | 2011-06-11 |
| 1437442811 | Anand Pariyadath | Internal Medicine | 200 Patewood Dr Ste B300, Greenville, SC 29615-6338 | 2011-05-18 |
| 1467765958 | Craig Jonathan Brown | Internal Medicine | 521 Moye Blvd, Ecu Physicians Pulmonary Critical Care, Greenville, NC 27834-2849 | 2010-07-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.