Provider Demographics
NPI:1376638056
Name:MOTLEY, GREGORY STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:STEPHEN
Last Name:MOTLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2175 ROCK MERRIT AVE WOMACK ARMY MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:21 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-274-4555
Practice Address - Fax:828-274-3615
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9500160207XX0005X, 207X00000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1060JOtherBCBS OF NC PROVIDER NUMBE
NC891060JMedicaid
NC200038337OtherMEDICARE RR PROVIDER NUMB
NCC4000OtherMEDCOST PROVIDER NUMBER
NC200038337OtherMEDICARE RR PROVIDER NUMB
NCC4000OtherMEDCOST PROVIDER NUMBER
NC891060JMedicaid