JIMMY L. GREGORY DPM, INC (NPI# 1578773750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578773750 |
Entity Type | Organization |
Organization Name | JIMMY L. GREGORY DPM, INC |
Practice Address |
3546 Covington Hwy Suite C Decatur GA 30032-1823 |
Mailing Address |
2140 Calverton Lane Atlanta GA 30331-2235 |
Practice Telephone | 4042847744 |
Practice Fax Number | 4042848006 |
Mailing Telephone | 4042028916 |
Mailing Fax Number | 4042848006 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2009-09-22 |
Authorized Official Name | VERONICA LOVE (OFFICE MANAGER) |
Authorized Official Telephone | 4042847744 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000598 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE RAILROAD | DC7572 | 01 |
GA | MEDICARE PART B | GRP6110 | 01 |
Street Address |
3546 COVINGTON HWY SUITE C |
City | DECATUR |
State | GA |
Zip Code | 30032-1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073574083 | Jimmy Lee Gregory | Podiatrist | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2006-03-29 |
1235343088 | Omolara Kuteyi Md, Inc | Family Medicine | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-05-10 |
1487778957 | James Washington Alexander | Ophthalmology | 3546 Covington Hwy, Suite A, Decatur, GA 30032-1850 | 2007-03-19 |
1942352778 | Covington Family Care and Specialty Group | Clinic/Center | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-01-18 |
1396898144 | Terri Morton Acker | Family Medicine | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-01-18 |
1780648568 | Omolara B Kuteyi | Family Medicine | 3546 Covington Hwy, Ste C, Decatur, GA 30032-1823 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
Find all providers in zip 30032 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487978763 | Flat Shoals Foot & Ankle Center, LLC | Podiatrist | 2855 Candler Rd, Ste 6, Decatur, GA 30034-1415 | 2010-03-16 |
1154500320 | Flat Shoals Foot & Ankle Center, LLC | Podiatrist | 2855 Candler Rd, Suite 10, Decatur, GA 30034-1415 | 2007-10-24 |
1194860288 | Neville A Alexander | Podiatrist | 3290 Memorial Dr, Suite B-3, Decatur, GA 30032-3421 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023618048 | Dr. Kent Biehler LLC | Podiatrist | 604 N Hutchinson Ave, Adel, GA 31620-1900 | 2020-10-28 |
1679967988 | Fred Ehrenfeld Rabhan | Podiatrist | 314 Johnston St, Savannah, GA 31405-5609 | 2015-03-25 |
1245531821 | Ebony B Conner | Podiatrist | 300 Prime Point, Suite 100, Peachtree City, GA 30269-6851 | 2010-11-12 |
1801104716 | Foot and Ankle Center of West Georgia PC | Podiatrist | 100 Professional Pl # 100, Suite 101, Carrollton, GA 30117-3874 | 2010-09-14 |
1366627887 | Ronald S. Reagin,d.p.m. | Podiatrist | 656 S Main St Ste A, Baxley, GA 31513-0127 | 2008-01-03 |
1972627875 | Michael Cantrell | Podiatrist | 6857 Gangle Ct, Lithonia, GA 30058-3074 | 2007-03-17 |
1063560639 | William A Solomon | Podiatrist | 6200 Old National Hwy, College Park, GA 30349-4330 | 2007-01-08 |
1346324662 | Eileen Byrd | Podiatrist | 601 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4311 | 2006-10-24 |
1639262181 | Dallas Renard Morgan | Podiatrist | 104 Patriot Way, Warner Robins, GA 31088 | 2006-10-02 |
1104868785 | Adam Michael Frasch | Podiatrist | 510 Gordon Ave, Thomasville, GA 31792-6646 | 2006-06-11 |
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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.