Mrs Jodie Brock Gregory, | |
152 E Kinderton Way, Bermuda Run, NC 27006-7350 | |
(336) 893-3210 | |
Not Available |
Full Name | Mrs Jodie Brock Gregory |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 152 E Kinderton Way, Bermuda Run, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407518475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 297261 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5015404 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jodie Brock Gregory, Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 893-3210 | Mrs Jodie Brock Gregory, 152 E Kinderton Way, Bermuda Run, NC 27006-7350 Ph: (336) 893-3210 |
Mrs. Emily Church Spencer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 E Kinderton Way Ste 101, Bermuda Run, NC 27006 Phone: 336-893-3210 Fax: 336-893-3229 | |
Mrs. Brittany Suth, MSN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 313 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-8093 | |
Deborah Lynn Springer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-408-7549 | |
Janis Elizabeth Buono, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 E Kinderton Way Ste 101, Bermuda Run, NC 27006 Phone: 336-893-3210 Fax: 336-893-3229 |