Jimmy Lee Gregory, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000598 Issued in GA

Practice address

495 Winn Way Ste 100
Decatur, GA 30030-1709

Phone

(404) 284-7744

Fax

(404) 284-8006

NPI assigned

Mar 29, 2006

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neesam Company IncorporatedGroup PAC ID 0547580201, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGBABD/Endpoint/AGBABD
• Direct secure messaging: jimmy.gregory.1@26481.direct.athenahealth.com

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.

• Neesam Company Incorporated

  dba South Atlanta Area Primary Care

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1376952069
  Medicare reassignment Care Compare group
• Jimmy L. Gregory DPM, Inc

  • Foot Surgery Podiatrist
  • Decatur, GA
  • NPI 1578773750
  Medicare reassignment
• Allied Ankle & Footcare Centers PC

  • Foot & Ankle Surgery Podiatrist
  • Riverdale, GA
  • NPI 1437324498
  NPD (past)
• Physicians Primary Care Group Inc.

  dba Cascade Primary Care Group

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1295924157
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1073574083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CALVERTON LANE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311210",
            "telephone_number": "404-284-7744",
            "fax_number": "404-284-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WINN WAY STE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301709",
            "telephone_number": "404-284-7744",
            "fax_number": "404-284-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Peachtree St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082212",
            "country_code": "US",
            "telephone_number": "404-686-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Cleveland Ave SW Ste 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303157115",
            "country_code": "US",
            "telephone_number": "404-755-2291",
            "fax_number": "404-755-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JIMMY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD00598",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10038991",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000430504G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE",
            "identifier": "000430504G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "309352",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reginald Albert Greene, PHARMD
• Susan Appleby Greene, PT
• Corey S. Greenwald, M.D.
• Greta Elizabeth Greer, LCSW
• Anne Gregory, OTR/L
• Ladarian Shawntell Gregory, D.C.
• D'Andrea Gresham, RN
• Ebonee Gresham, FNP
• Alma Grewal, MD
• Walter Grider Jr.

• Foot & Ankle Surgery Podiatrist in Decatur, GA
• Providers in Decatur, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.