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

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  • 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 15 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
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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)
1363A00000XPhysician 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922172121, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 2 + 7 + 4 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1922172121.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Internal Medicine (Infectious Disease)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nurse Practitioner (Adult Health)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Occupational Therapist
830 CHALKSTONE AVE, PROVIDENCE VA MEDICAL CENTER
PROVIDENCE, RI 02908
Occupational Therapist
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Physical Therapist
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Physical Therapist
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Psychiatry & Neurology (Psychiatry)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Psychologist (Clinical)
830 CHALKSTONE AVE, BUILDING 14 (116E), PROVIDENCE VAMC
PROVIDENCE, RI 02908
Physical Therapist
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Psychologist (Clinical)
830 CHALKSTONE AVE, PROVIDENCE VAMC, MHBSS 116F
PROVIDENCE, RI 02908
Clinical Nurse Specialist (Oncology)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Internal Medicine (Hematology & Oncology)
830 CHALKSTONE AVE, PROVIDENCE VA MEDICAL CENTER
PROVIDENCE, RI 02908
Internal Medicine (Pulmonary Disease)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nurse Anesthetist, Certified Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Dietitian, Registered (Nutrition, Metabolic)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922172121, enumerated 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.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.