| 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 |
|---|---|
| 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 | |
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 | |
Kimberly Miskow Stepney, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 |