DR. SCOTT DAVID GREMILLION MD NPI 1306232004

NPI Information

NPI: 1306232004
Provider Name: DR. SCOTT DAVID GREMILLION, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1021 MOREHEAD MEDICAL DR
CHARLOTTE, NC
ZIP 28204
Phone: (980) 442-2000
Get Directions

DR. Scott David Gremillion, MD is a family medicine in Charlotte, NC with 9 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Scott David Gremillion, MD NPI is 1306232004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1021 MOREHEAD MEDICAL DR
CHARLOTTE, NC
ZIP 28204-990
Phone: (980) 442-2000

The NPI 1306232004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2015 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	307342	NEW YORK	No
2	207Q00000X	Family Medicine	2018-02099	NORTH CAROLINA	Yes
3	207Q00000X	Family Medicine	67291	CONNECTICUT	No
4	207Q00000X	Family Medicine	MD52277	SOUTH CAROLINA	No
5	207Q00000X	Family Medicine	288544	MASSACHUSETTS	No
6	207Q00000X	Family Medicine	35.144085	OHIO	No
7	207Q00000X	Family Medicine	MD210001704	DISTRICT OF COLUMBIA	No
8	207Q00000X	Family Medicine	4950	MASSACHUSETTS	No
9	207Q00000X	Family Medicine	209821	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	35.144085	OTHER	OHIO	OHIO MEDICAL BOARD
2	209821	OTHER	NORTH CAROLINA	NC MEDICAL BOARD
3	307342	OTHER	NEW YORK	NY MEDICAL BOARD
4	67291	OTHER	CONNECTICUT	CT MEDICAL BOARD
5	MD52277	OTHER	SOUTH CAROLINA	SC MEDICAL BOARD
6	MD210001704	OTHER	DISTRICT OF COLUMBIA	DC MEDICAL BOARD
7	288544	OTHER	MASSACHUSETTS	MA MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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