MISS KIMBERLY ALENE GREGG PA-C
NPI 1922172121
Physician Assistant - Surgical in Providence, RI
NPI Status: Active since November 20, 2006
Contact Information
830 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908
Phone: (973) 676-1000
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About KIMBERLY GREGG
This page provides the complete NPI Profile along with additional information for Kimberly Gregg, a provider established in Providence, Rhode Island with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1922172121 assigned on November 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA00463 (RI). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1922172121
- Provider Name
- MISS KIMBERLY ALENE GREGG PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 830 CHALKSTONE AVE PROVIDENCE, RI 02908
- Location Phone
- (973) 676-1000
- Mailing Address
- 60 RAVENSWOOD AVE PROVIDENCE, RI 02908
- Mailing Phone
- (732) 742-3334
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-20-2006
- Last Update Date
- 07-22-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA00463
- License State
- RI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 25MP00163000 (NJ) |
Medicare Participation & PECOS Enrollment Status
Kimberly Gregg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 1 | 7 | 2 | 1 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 2 | 7 | 4 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 2 + 7 + 4 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1922172121 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174510853 | FRANCES ANN BETTENCOURT NP Individual | Nurse Practitioner | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1700859634 | GARY R PLOTKIN M.D. Individual | Internal Medicine (Infectious Disease) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1275599359 | MRS. SUZANNE L RYAN N.P. Individual | Nurse Practitioner (Adult Health) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1366498610 | MRS. ERINN RAIMONDI OTR/L Individual | Occupational Therapist | 830 CHALKSTONE AVE PROVIDENCE VA MEDICAL CENTER PROVIDENCE, RI 02908 (401) 273-7100 |
| 1730127879 | MR. PETER RAYMOND GAUTHIER OTR/L Individual | Occupational Therapist | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1649219890 | MS. MARSHA ANN GREEN PT Individual | Physical Therapist | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1598707556 | MRS. WENDY LYNNE CARDOZA PT, MBA Individual | Physical Therapist | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1366485104 | DR. GISELLE AVIVA CORRE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1346284429 | JENNIFER FALCONER LAMBERT PH.D. Individual | Psychologist (Clinical) | 830 CHALKSTONE AVE BUILDING 14 (116E), PROVIDENCE VAMC PROVIDENCE, RI 02908 (401) 273-7100 |
| 1689619603 | MR. JAMES NAVILLIAT PT Individual | Physical Therapist | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1851336309 | ROCHELLE L FORTIN LICSW Individual | Social Worker (Clinical) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1114953122 | MS. CYNTHIA LUCILLE WILLIAMS MSW Individual | Social Worker (Clinical) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1104853415 | MR. CHRISTOPHER ANTHONY MORGAN MSW Individual | Social Worker (Clinical) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1538196803 | MS. KATHERINE NEILL MSW Individual | Social Worker (Clinical) | 830 CHALKSTONE AVE BLDG 14 PROVIDENCE, RI 02908 (401) 457-3077 |
| 1902833791 | DR. JAYNE AUDRIE KURKJIAN PHD Individual | Psychologist (Clinical) | 830 CHALKSTONE AVE PROVIDENCE VAMC, MHBSS 116F PROVIDENCE, RI 02908 (401) 273-7100 |
| 1265462048 | JANET CAMPBELL CAMERON CNS Individual | Clinical Nurse Specialist (Oncology) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
| 1134150451 | DR. NANCY JANE FREEMAN M.D. Individual | Internal Medicine (Hematology & Oncology) | 830 CHALKSTONE AVE PROVIDENCE VA MEDICAL CENTER PROVIDENCE, RI 02908 (401) 273-7100 |
| 1891725560 | DR. SHARON IRENE SMITH ROUNDS MD Individual | Internal Medicine (Pulmonary Disease) | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 457-3020 |
| 1104858935 | MS. ROSEMARY C KOPEC CRNA Individual | Nurse Anesthetist, Certified Registered | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 457-3056 |
| 1215960273 | MISS LOURDES SAN PEDRO NATIVIDAD RD Individual | Dietitian, Registered | 830 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 273-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922172121, enumerated in the NPI registry as an "individual" on November 20, 2006
The provider is located at 830 Chalkstone Ave Providence, Ri 02908 and the phone number is (973) 676-1000
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on November 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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