Kristin C Gregory, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2074 Issued in TN

Practice address

5505 Creekwood Park Blvd
Lenoir City, TN 37772-1201

Phone

(865) 986-1400

Fax

(865) 986-9400

NPI assigned

Aug 16, 2012

Last updated

Jan 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sweetwater Hospital Association

  dba Sweetwater Physician Group

  • Obstetrics & Gynecology Physician
  • Sweetwater, TN
  • NPI 1558995399

  Physician Assistant

  Medicare reassignment NPD
• Sweetwater Hospital Association

  dba Sweetwater Hospital Association Rural Health Clinic

  • Rural Health Clinic/Center
  • Sweetwater, TN
  • NPI 1205659711
  NPD
• Pediatric Choice LLC

  • Pediatrics Physician
  • Lenoir City, TN
  • NPI 1811023989
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1053669374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E",
            "address_2": "SUITE 2B",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725690",
            "telephone_number": "865-986-1400",
            "fax_number": "865-986-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 CREEKWOOD PARK BLVD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377721201",
            "telephone_number": "865-986-1400",
            "fax_number": "865-986-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KRISTIN",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Gonzales
• Joel Robert Gooch, M.D.
• Li Yin Chin Goode, PT
• Jordan Greene
• Lori L Greene
• Mikayla Breann Griffin
• Misty Beth Griffitts
• Kevin D. Gross, DDS
• Paul Dwayne Gross, DDS
• Ana Cristina Guzman, CNA

• Physician Assistant in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.