DR. GREGORY HANNIBAL CRISP (NPI# 1558394437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558394437 |
| Entity Type | Individual |
| Full Name | DR. GREGORY HANNIBAL CRISP |
| Credential | MD |
| Practice Address |
500 E Cornwallis Dr Ste G Greensboro NC 27405 |
| Mailing Address |
Po Box 7432 Greensboro NC 27417-0432 |
| Practice Telephone | 3367631101 |
| Practice Fax Number | 8669597250 |
| Mailing Telephone | 8033562888 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25487 | NC | Allopathic & Osteopathic Physicians |
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
25487 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 25487 | NC | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
25487 | NC | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25487 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 25721 | 01 |
| NC | 8925721 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Revolution Mill Dr Ste 7, Greensboro, NC 274055053 | 3025183022 | 8669597250 |
| 3670 S New Hope Rd Ste 1, Gastonia, NC 280568597 | 7047093239 | 7044788194 |
| 505 Samaritans Ridge Ct, Elkin, NC 286212457 | 3367631101 | 8669597250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649708744 | Gregory Crisp | Anesthesiology | 546 N Kegley Rd, Temple, TX 76502-4069 | 2017-06-01 |
| Street Address |
500 E CORNWALLIS DR STE G |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841270428 | James T Skeen | Pain Medicine | 5587 Garden Village Way, Ste E, Greensboro, NC 27410-8589 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306317011 | United Spine & Pain PC | Pain Medicine | 855 Bradley St Ste A, Concord, NC 28025-2979 | 2018-12-07 |
| 1144604273 | Justis Group of Edenton | Pain Medicine | 905 Cherry St, North Wilkesboro, NC 28659-4251 | 2015-07-18 |
| 1578968079 | Carolinas Center for Advanced Management of Pain | Pain Medicine | 2569 Pembroke Rd, Gastonia, NC 28054-4712 | 2014-10-27 |
| 1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
| 1558366385 | Sunil K Arora | Pain Medicine | 1602 Physicians Dr, Suite 103, Wilmington, NC 28401-7363 | 2005-06-17 |
| 1528063542 | Center for Pain Management Pllc | Pain Medicine | 1602 Physicians Dr Ste 103, Wilmington, NC 28401-7350 | 2005-06-16 |
| 1992310502 | Southeastern Pain and Wellness, Pllc | Pain Medicine | 402 W King St, King, NC 27021-9170 | 2020-09-10 |
| 1710592399 | Triangle Pain Institute | Pain Medicine | 2605 Blue Ridge Rd Ste 330, Raleigh, NC 27607-6475 | 2020-09-10 |
| 1144863358 | Envision Pain Management Pllc | Pain Medicine | 107 Haywood Park Dr, Clyde, NC 28721-4405 | 2019-10-21 |
| 1518438811 | Medical Innovations Concepts, P.C. | Pain Medicine | 294 N Nc 16 Business Hwy Ste B, Denver, NC 28037-8741 | 2018-12-12 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.