Active NPI
Gregory Lamont Douglas, MS
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1144324823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2572
- Practice address
- 1451 Dowell Springs Blvd
Knoxville, TN 37909-2441 - Phone
- (865) 970-9800
- NPI assigned
- Sep 12, 2006
- Last updated
- May 4, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2572 | TN | Primary |
Addresses
Primary practice location
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Mailing address
1400 Centerpoint Blvd BLDG a
Suite 158
Knoxville, TN 37932-1979
Phone (865) 374-5806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2572 | TN | MD | Chiropractor |
Interoperability endpoints
- gregory.douglas.1@20785.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1144324823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CENTERPOINT BLVD BLDG A",
"address_2": "SUITE 158",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321979",
"telephone_number": "865-374-5806",
"fax_number": "865-374-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092441",
"telephone_number": "865-970-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "GREGORY",
"middle_name": "LAMONT",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2572",
"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 May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.