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MISS KIMBERLY ALENE GREGG PA-C
NPI 1922172121
Physician Assistant - Surgical in Providence, RI

Active since November 20, 2006PECOS Enrolled
830 CHALKSTONE AVE, PROVIDENCE, RI 02908(973) 676-1000 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Kimberly Alene Gregg Pa-c NPPES

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

MISS KIMBERLY ALENE GREGG PA-C (NPI 1922172121) is an individual surgical provider in Providence, Rhode Island, licensed in Rhode Island (PA00463) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922172121
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS KIMBERLY ALENE GREGGCredential: PA-C
Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734
Mailing Address60 Ravenswood AveProvidence, RI 02908-2022 · (732) 742-3334
Phone(973) 676-1000
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 22, 2011
✔ NPI 1922172121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in RI · PA00463
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00163000 (NJ)
830 CHALKSTONE AVE, Providence, RI 02908
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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)

Miss Kimberly Alene Gregg Pa-c 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.

DR. CHRISTOPHER TUDOR BAUGHMAN-OPRICA PHARM.D.
Pharmacist (Pharmacotherapy)
830 CHALKSTONE AVE, 119
PROVIDENCE, RI 02908
Providence County (401) 273-7100
ELIZABETH SEVIN
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 723-7100
TONI MARIE ACAMPORA LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
ELIZABETH MOORE MEDBURY APRN
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7011
ROOSEVELT MALDONADO
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
LILY ANN CURRERI RDN
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. HELEN MARY SULLIVAN R.N.
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. RENEE COLETTE WATSON LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Gregg's NPI number?

The NPI number for Kimberly Gregg is 1922172121. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Kimberly Gregg located?

Kimberly Gregg practices at 830 Chalkstone Ave, Providence, RI 02908. The listed phone number is (973) 676-1000.

What is Kimberly Gregg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Gregg enrolled in Medicare?

Yes. Kimberly Gregg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Gregg was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.