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Dr. Nicole Gaskins Greyshock, MD

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Specializes in: Adult Endocrinology

University of North Carolina at Chapel Hill School of Medicine

Professional interests include: cholesterol problems (lipid disorders), thyroid problems, diabetes

1340 Walter Reed Road
Fayetteville, NC 28304

(910) 401-5425

Dr. Nicole Gaskins Greyshock, MD is an endocrinologist in Fayetteville, NC specializing in adult endocrinology. She graduated from University of North Carolina at Chapel Hill School of Medicine. Dr. Nicole Gaskins Greyshock, MD is affiliated with Cape Fear Valley Medical Center, Cape Fear Valley Health and RDMG ASSOCIATES PA.

Office Locations

Address:

1340 Walter Reed Road
Fayetteville, NC 28304

Address:

405 Owen Drive
Fayetteville, NC 28304

Some issues Dr. Nicole Gaskins Greyshock, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

doctor visit	122

**Gender**
Male	40
Female	84

**Ethnicity**
Non-Hispanic White	0
Black	82
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	39
From 75 to 84	0
85 and over	0
Less than 65	56

Hypertension	74
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	32
Depression	30
Chronic Kidney Disease	34
Asthma	9
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	21
Chronic Obstructive Pulmonary Disease	19
Diabetes	42
Dementia	0
Cancer	0

aspiration	15
blood draw	30
diabetes management	72
diagnostic procedures	15
doctor visit	301
hospital care	70
image guided procedures	15
inpatient care	70
lab tests	71
minimally invasive procedures	15
minor procedures	15
neck imaging	23
preventive care	70
ultrasound (sonogram)	23
vaccines	23

**Gender**
Male	70
Female	171

**Ethnicity**
Non-Hispanic White	179
Black	49
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	119
From 75 to 84	58
85 and over	21
Less than 65	43

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	40
Depression	19
Chronic Kidney Disease	32
Asthma	8
Osteoperosis	14
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	17
Diabetes	60
Dementia	8
Cancer	13

aspiration	14
diabetes management	193
diagnostic procedures	14
doctor visit	803
image guided procedures	14
lab tests	230
minimally invasive procedures	14
minor procedures	14
neck imaging	73
preventive care	204
ultrasound (sonogram)	73
vaccines	10

**Gender**
Male	204
Female	542

**Ethnicity**
Non-Hispanic White	522
Black	186
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	370
From 75 to 84	166
85 and over	28
Less than 65	182

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	39
Depression	24
Chronic Kidney Disease	40
Asthma	14
Osteoperosis	10
Atrial Fibrilation	7
Heart Failure	12
Chronic Obstructive Pulmonary Disease	16
Diabetes	64
Dementia	6
Cancer	9

aspiration	30
blood draw	72
diabetes management	191
diagnostic procedures	30
doctor visit	871
image guided procedures	30
lab tests	293
minimally invasive procedures	30
minor procedures	30
neck imaging	102
preventive care	205
ultrasound (sonogram)	102
vaccines	13

**Gender**
Male	118
Female	353

**Ethnicity**
Non-Hispanic White	323
Black	124
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	248
From 75 to 84	97
85 and over	19
Less than 65	107

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	38
Depression	23
Chronic Kidney Disease	59
Asthma	18
Osteoperosis	8
Atrial Fibrilation	8
Heart Failure	13
Chronic Obstructive Pulmonary Disease	14
Diabetes	59
Dementia	4
Cancer	8

aspiration	53
blood draw	11
diabetes management	15
diagnostic procedures	53
doctor visit	855
image guided procedures	53
lab tests	33
minimally invasive procedures	53
minor procedures	53
neck imaging	164
preventive care	36
ultrasound (sonogram)	164
vaccines	20

**Gender**
Male	103
Female	365

**Ethnicity**
Non-Hispanic White	312
Black	134
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	236
From 75 to 84	110
85 and over	22
Less than 65	100

Hypertension	75
High Cholesterol	70
Stroke	6
Ischemic Heart Disease	38
Depression	23
Chronic Kidney Disease	54
Asthma	10
Osteoperosis	9
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	15
Diabetes	52
Dementia	7
Cancer	10

aspiration	60
diagnostic procedures	60
doctor visit	1065
image guided procedures	60
minimally invasive procedures	60
minor procedures	60
neck imaging	208
preventive care	17
ultrasound (sonogram)	208
vaccines	18

**Gender**
Male	114
Female	419

**Ethnicity**
Non-Hispanic White	350
Black	149
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	272
From 75 to 84	134
85 and over	27
Less than 65	100

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	36
Depression	21
Chronic Kidney Disease	46
Asthma	10
Osteoperosis	12
Atrial Fibrilation	9
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	46
Dementia	7
Cancer	10

doctor visit	1107
neck imaging	227
preventive care	15
ultrasound (sonogram)	227
vaccines	16

**Gender**
Male	112
Female	460

**Ethnicity**
Non-Hispanic White	385
Black	151
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	277
From 75 to 84	168
85 and over	32
Less than 65	95

Hypertension	75
High Cholesterol	75
Stroke	3
Ischemic Heart Disease	35
Depression	22
Chronic Kidney Disease	48
Asthma	10
Osteoperosis	17
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	16
Diabetes	47
Dementia	5
Cancer	10

doctor visit	1186
neck imaging	268
preventive care	21
ultrasound (sonogram)	268
vaccines	22

**Gender**
Male	124
Female	512

**Ethnicity**
Non-Hispanic White	439
Black	158
Hispanic	12
Asian	0
Other	14
Native American	0

**Age**
From 65 to 74	314
From 75 to 84	174
85 and over	55
Less than 65	93

Hypertension	75
High Cholesterol	75
Stroke	4
Ischemic Heart Disease	34
Depression	22
Chronic Kidney Disease	47
Asthma	8
Osteoperosis	20
Atrial Fibrilation	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	45
Dementia	5
Cancer	11

doctor visit	2456
neck imaging	588
ultrasound (sonogram)	588

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Nicole Gaskins Greyshock, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nicole Gaskins Greyshock, MD treated as an endocrinologist in Fayetteville, NC were ultrasound (sonogram), neck imaging, lab tests and diabetes management.

aspiration	34
blood draw	37
diabetes management	118
diagnostic procedures	34
doctor visit	975
hospital care	70
image guided procedures	34
inpatient care	70
lab tests	157
minimally invasive procedures	34
minor procedures	34
neck imaging	206
preventive care	81
ultrasound (sonogram)	206
vaccines	17

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD.

**Gender**
Male	88
Female	290

**Ethnicity**
Black / African American	103
Asian / Pacific Islander	0
Non-Hispanic White	251
Native American / Alaskan Native	0
Hispanic	3
Other	1

**Age**
75 to 84	90
85 and over	20
Less than 65	77
65 to 74	187

Average of Total of Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Nicole Gaskins Greyshock, MD treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	59
High Cholesterol	56
Stroke	3
Ischemic Heart Disease	29
Depression	18
Chronic Kidney Disease	36
Asthma	8
Osteoporosis	9
Heart Failure	10
Chronic Obstructive Pulmonary Disease	12
Diabetes	41
Atrial Fibrillation	6
Cancer	7
Dementia	4

Education & Training

Dr. Nicole Gaskins Greyshock, MD graduated from University of North Carolina at Chapel Hill School of Medicine. She completed residency at Duke University Medical Center. She is certified by the American Board of Internal Medicine, American Board of Clinical Lipidology and has a state license in North Carolina.

Medical School: University of North Carolina at Chapel Hill School of Medicine

Residency: Duke University Medical Center

Board Certification: American Board of Internal Medicine, American Board of Clinical Lipidology

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Nicole Gaskins Greyshock, MD is associated with these hospitals and organizations:

Cape Fear Valley Medical Center

Cape Fear Valley Health

RDMG ASSOCIATES PA

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General Payments

These charts describe general payments received by Dr. Nicole Gaskins Greyshock, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novo Nordisk Inc	$135,220 RYBELSUS $62,138	Ozempic $58,662	Tresiba $7,643	Wegovy $234	Victoza $204	Other $6,339
SANOFI-AVENTIS U.S. LLC	$88,752 TOUJEO $53,411	SOLIQUA 100/33 $24,254	SOLIQUA $10,477	LANTUS $162	PRALUENT $155	Other $293
AstraZeneca Pharmaceuticals LP	$78,461 FARXIGA $39,243	BYDUREON $37,143	BYDUREON PEN $190	BYDUREON WEEKLY $128	LOKELMA $125	Other $1,632
Boehringer Ingelheim Pharmaceuticals, Inc.	$41,614 JARDIANCE $31,161	GLYXAMBI $10,429	Pradaxa $12	JENTADUETO $12
Bayer HealthCare Pharmaceuticals Inc.	$32,774 Kerendia $32,774
Other	$58,801 JARDIANCE $23,675	Repatha $14,195	Korlym $6,391	Vascepa $4,397	NMR LipoProfile Test $1,787	Other $8,357

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$376,243
Food and Beverage	$27,597
Travel and Lodging	$20,213
Consulting Fee	$9,688
Honoraria	$1,500
Other	$382

Biography

Dr. Nicole Greyshock is a specialist in adult endocrinology. She has indicated that her clinical interests include diabetes. Dr. Greyshock graduated from the University of North Carolina at Chapel Hill School of Medicine and then she performed her residency at Duke University Medical Center. She is affiliated with Cape Fear Valley Medical Center.

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Dr. Nicole Gaskins Greyshock, MD

Office Locations

Some issues Dr. Nicole Gaskins Greyshock, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Nicole Gaskins Greyshock, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in Fayetteville, NC