GREGORY RAY VANCE
NPI 1750142899
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Gregory Vance's NPI number?

The NPI number for Gregory Vance is 1750142899. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Q: What is Gregory Vance's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Vance was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2024PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5012 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gregory Ray Vance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY RAY VANCE (NPI 1750142899) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750142899

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGREGORY RAY VANCE

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5012

Phone(601) 984-5012

Sole ProprietorYes

Enumeration DateJanuary 16, 2024

NPPES CertifiedJanuary 16, 2024

✔ NPI 1750142899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Ray Vance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)