GREGORY WAYNE SMITH (NPI# 1689609802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689609802 |
Entity Type | Individual |
Full Name | GREGORY WAYNE SMITH |
Credential | N.P. |
Practice Address |
2501 Citico Ave Chattanooga TN 37404-1127 |
Practice Telephone | 4236972000 |
Practice Fax Number | 4236972118 |
Mailing Telephone | 4236972000 |
Mailing Fax Number | 4236972118 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2013-12-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
07526 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3901566 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870635 | Gregory Robert Smith | In Home Supportive Care | 3954 Mount Vernon Blvd Apt 1b, Norton, OH 44203-9512 | 2020-10-28 |
1376012740 | Gregory Roy Smith Sr. | Counselor | Alleeweg 2, Velburg, BAVARIA 92355 | 2018-11-15 |
1609398528 | Gregory Allen Smith | Community Health Worker | 203 Clark Dr, Columbia, TN 38401 | 2017-07-12 |
1629503438 | Gregory Smith | Massage Therapist | 3819 Cambria Pl, Colorado Springs, CO 80918-2362 | 2017-04-29 |
1598120362 | Gregory Smith | Counselor | 2124 Moores Mill Rd, Auburn, AL 36830-8468 | 2015-12-22 |
1902270945 | Gregory Carleton Smith | Marriage & Family Therapist | 1924 4th Street, San Rafael, CA 94901 | 2015-11-13 |
1124414370 | Gregory Smith | Anesthesiology | 567 Sand Hill Rd, Wantagh, NY 11793-1312 | 2015-04-14 |
1033515762 | Gregory Allan Smith | Chiropractor | 1300 N Bryant Ave, Ste. 100, Moore, OK 73160 | 2014-11-06 |
1326450735 | Gregory Smith | Massage Therapist | 5029 Shaw Ave, Saint Louis, MO 63110-3021 | 2014-05-20 |
1972882603 | Gregory Douglas Smith | Pharmacist | 6580 Snowdrift Rd, Suite 100, Allentown, PA 18106-9331 | 2011-08-11 |
Street Address |
2501 CITICO AVE |
City | CHATTANOOGA |
State | TN |
Zip Code | 37404-1127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629077011 | Gordon D Graham | Internal Medicine | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2005-07-18 |
1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
1447725882 | Damon Pulliam | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-10-12 |
1962980169 | Gregory A Evans | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-07-31 |
1467965707 | Josue B Mendoza | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-11-08 |
1548781156 | Sally W Randall | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-07-05 |
1225582141 | Corinne Ann Hinson | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2016-08-09 |
1073988903 | Enesa Spreco | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-12-03 |
1396120408 | Joshua Paul Black | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-07-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
Find all providers in zip 37404 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043828692 | Michelle Colby | Nurse Practitioner | 1050 Givens Rd, Chattanooga, TN 37421-4370 | 2020-07-20 |
1750999553 | Julia Clare Cervantes Aguilar | Nurse Practitioner | 3756 Knollwood Dr, Chattanooga, TN 37415-4203 | 2020-07-17 |
1447876743 | Cathleen Marie Cornett | Nurse Practitioner | 979 E 3rd St Ste C-300, Chattanooga, TN 37403-2136 | 2020-06-23 |
1487279139 | Roxy Gazaway | Nurse Practitioner | 721 Glenwood Dr Ste W560, Chattanooga, TN 37404-1129 | 2020-06-09 |
1801410253 | Stacey Buckner | Nurse Practitioner | 207 Booth Rd, Chattanooga, TN 37411-2702 | 2020-06-02 |
1073158630 | Jerry Lynn Reed Jr. | Nurse Practitioner | 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421-4947 | 2019-11-07 |
1508411729 | Jerin C Alexander | Nurse Practitioner | 6918 Shallowford Rd Ste 226, Chattanooga, TN 37421-1552 | 2019-08-05 |
1295388841 | Ann Mercy Binoy | Nurse Practitioner | 425 Cumberland St # 110, Chattanooga, TN 37404-1909 | 2019-07-23 |
1528610466 | Kristina Wagner Daly | Nurse Practitioner | 504 E 17th St, Chattanooga, TN 37408-2107 | 2019-07-11 |
1023679909 | Megan Elizabeth Coffey | Nurse Practitioner | 3321 Montview Dr, Chattanooga, TN 37411-3524 | 2019-06-22 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37404 |
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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.