DR. MICHAEL P GREGO (NPI# 1023168390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023168390 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL P GREGO |
| Credential | D.C. |
| Practice Address |
2170 W Point Rd Ste 5 Lagrange GA 30240-4007 |
| Practice Telephone | 7066166775 |
| Mailing Telephone | 7066166775 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO02886 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 5248447 001 | 01 |
| GA | TAX ID | 27-2178870 | 01 |
| GA | PRACTICE LICENSE | CHIR002886 | 01 |
| Street Address |
2170 W POINT RD STE 5 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604178 | Era Russell | Specialist | 2170 W Point Rd, Suite 36, Lagrange, GA 30240-4007 | 2016-04-19 |
| 1831411008 | Jm Group Services Corp | Clinic/Center | 2170 W Point Rd, Suite 25, Lagrange, GA 30240-4007 | 2010-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669844296 | Chase Daniel Waggoner | Chiropractor | 400 Union St, Lagrange, IN 46761-2286 | 2015-10-22 |
| 1740547447 | Total Healthcare of Lagrange, LLC | Chiropractor | 3452 Hogansville Rd, Suite B, Lagrange, GA 30241-8269 | 2012-04-19 |
| 1760798128 | Matthew Tyler Wolfertz | Chiropractor | 1697 Vernon Rd Ste A, Lagrange, GA 30240-4180 | 2010-08-24 |
| 1275844227 | Life Style Enhancement Centers | Chiropractor | 3206 W Point Rd, Lagrange, GA 30240-7545 | 2010-06-24 |
| 1447409610 | Brenton Coe Jones | Chiropractor | 110 Elm Dr, Lagrange, GA 30240-1606 | 2008-09-12 |
| 1164682993 | John Herbert Kent Jr. | Chiropractor | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 | 2008-06-16 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1902074495 | Healthy Living Chiropractic, LLC | Chiropractor | 299 Commerce Ave Ste B, Lagrange, GA 30241-2345 | 2008-02-19 |
| 1083807481 | Holistic Chiropractic, LLC | Chiropractor | 299 Commerce Ave, Lagrange, GA 30241-2345 | 2007-08-20 |
| 1225173057 | Sadiyq Taylor | Chiropractor | 1003 Hogansville Rd, Suite G, Lagrange, GA 30241-1459 | 2007-02-20 |
| Find all providers in LAGRANGE | ||||
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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.