Gregg J Colle


Address: 1719 Villagepark Dr, Orangeburg, SC 29118-2475

Gregg J Colle (NPI# 1720195993, PAC ID# 2062495815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1720195993
PAC ID by PECOS 2062495815
Professional Enrollment ID I20120120000565
Full Name Gregg J Colle
Address 1719 Villagepark Dr
Orangeburg
SC 29118-2475
Gender M
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty DERMATOLOGY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1719 Villagepark Dr, Orangeburg, SC 29118-2475

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 1719 VILLAGEPARK DR
City ORANGEBURG
State SC
Zip 29118-2475

Physicians in the same zip code

Name Specialty Organization Address
Alex Brandon Burshtynsky Physical Therapy Greenville Proaxis Therapy LLC 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344
John Oxford Hutto Sr. Cardiovascular Disease (cardiology) The Regional Medical Center of Orangeburg and Calhoun Counties 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344
Denise A Canup Physician Assistant The Regional Medical Center of Orangeburg and Calhoun Counties 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344
Mabelle Castro Physical Therapy Greenville Proaxis Therapy LLC 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344
Muhammad Yunis Internal Medicine The Regional Medical Center of Orangeburg and Calhoun Counties 2850 Pelham Ct, Orangeburg, SC 29118-1400
Mohammed Ibrahim Alhatou Neurology 2850 Pelham Ct, Orangeburg, SC 29118-1400
Mahmoud M Abu-ata Neurology Neurology and Pain Clinic LLC 2850 Pelham Ct, Orangeburg, SC 29118-1400
Silvano L Rodrigues Torres Nephrology South Carolina Nephrology and Hypertension 3709 Magnolia St, Orangeburg, SC 29118-1403
Karl Armistead Illig Vascular Surgery The Regional Medical Center of Orangeburg and Calhoun Counties 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442
John Fant Pathology 3000 St Matthews Rd, Dept of Pathology, Orangeburg, SC 29118-1442
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Competitor

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City ORANGEBURG
Zip Code 29118
Specialty DERMATOLOGY
City + Specialty ORANGEBURG + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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