Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gregory Costa, PA-C

Individual provider Physician Assistant · NPI 1790838399

Gregory Costa, PA-C is a Physician Assistant in Greenville, South Carolina. Practices as a sole proprietor. Licensed in Colorado and New York.

Licensed in
CO, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

620 Halton Rd Apt 7101
Greenville, SC 29607-3486
Phone: (323) 401-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016288 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PAL2348 (CO)

Record details

NPI number1790838399
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJune 26, 2019

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