Mr Kenneth Nathan Gregory, NP-C | |
Vidant Edgecombe Emergency Department, 111 Hospital Drive, Tarboro, NC 27886-2011 | |
(252) 641-7150 | |
Not Available |
Full Name | Mr Kenneth Nathan Gregory |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | Vidant Edgecombe Emergency Department, Tarboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851570444 | NPI | - | NPPES |
1851570444 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 0050-03738 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 00503738 (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Columbus Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588813786 PECOS PAC ID: 2961560446 Enrollment ID: O20081028000380 |
Mailing Address | Practice Location Address |
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Mr Kenneth Nathan Gregory, NP-C Vidant Edgecombe Ed, 111 Hospital Drive, Tarboro, NC 27886-2011 Ph: (252) 641-7150 | Mr Kenneth Nathan Gregory, NP-C Vidant Edgecombe Emergency Department, 111 Hospital Drive, Tarboro, NC 27886-2011 Ph: (252) 641-7150 |
Mr. Shaun Fitzpatrick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 162 Nc Highway 33 E, Tarboro, NC 27886 Phone: 252-641-0514 Fax: 252-243-2576 | |
Stephanie Mills Wynn, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 Fax: 252-823-3164 | |
Crystal Leigh Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 | |
Ms. Teresa Winslow, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Hospital Drive, Vidant Edgecombe Hospital, Tarboro, NC 27886 Phone: 252-641-7150 Fax: 252-641-7477 | |
Mrs. Courtney Padrick Greene, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 | |
Mrs. Erika Raya Guerra, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 162 Nc Highway 33 E, Tarboro, NC 27886 Phone: 252-641-0514 Fax: 252-641-1668 | |
Mrs. Ashley Lauren Feeley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2704 N Main St, Tarboro, NC 27886 Phone: 252-823-6333 |