Active NPI
Lynellen Gregory, MD
- Vascular Surgery Physician
- Knoxville, TN
National Provider Identifier
1124409461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2022-01932
- Practice address
- 1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511 - Phone
- (865) 305-9230
- Fax
- (865) 305-8894
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2022-01932 | NC | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Mailing address
2203 Neuse Blvd
New Bern, NC 28560-4311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221121001661 | NC | Practitioner - Vascular Surgery | 4880946847 | Reassigns benefits to 1 organization |
| I20251027002299 | VA | Practitioner - Vascular Surgery | 4880946847 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Virginia Commonwealth University, School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis Gale Physicians LLC
Practice addresses (Care Compare)
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3400
Hospital & facility affiliations
- Lewisgale Medical Center
- Lewisgale Hospital Alleghany
- Lewisgale Hospital Montgomery
- Carilion Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.24 of 100
- Quality
- 66.5
- Improvement activities
- 40
- Cost
- 73.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Surgical Specialists P a | Single Specialty | Current | Accepting new patients |
| Lewis Gale Physicians LLC | Single Specialty | Current | Accepting new patients |
Locations
2203 Neuse Blvd
New Bern, NC 28560
Phone (252) 638-8118
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
Interoperability endpoints
- lynellen.gregory@hca6.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Low Moor, VA
- NPI 1285932962
Hospital
-
- General Acute Care Hospital
- Low Moor, VA
- NPI 1538100029
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1124409461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY # U-11",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9230",
"fax_number": "865-305-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "LYNELLEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "2022-01932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.