Gregary Byers, NP-C

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

18850 Issued in TN

Practice address

107 Tennessee St
Bolivar, TN 38008-1822

Phone

(731) 212-3196

Fax

(731) 212-3193

NPI assigned

Jul 10, 2014

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Home Health LLC Home health agency, Jackson, TN, CCN 447101
• Volunteer Homecare of West TN Home health agency, Parsons, TN, CCN 447561
• West Tennessee Healthcare Bolivar Hospital Hospital, Bolivar, TN, CCN 441320
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15372/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Unity Health & Wellness LLC

  • Rural Health Clinic/Center
  • Bolivar, TN
  • NPI 1609317692

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Unity Health & Wellness LLC

  • Rural Health Clinic/Center
  • Bolivar, TN
  • NPI 1609317692
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bolivar General Hospital, Inc.

  dba West Tennessee Healthcare Bolivar Hospital

  • Critical Access Hospital
  • Bolivar, TN
  • NPI 1518957950
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Medical Center Home Health, LLC

  • Home Health Agency
  • Jackson, TN
  • NPI 1932355997
  Care Compare affiliation
• Volunteer Home Care of West Tennessee Inc.

  • Home Health Agency
  • Parsons, TN
  • NPI 1548211717
  Care Compare affiliation
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Care Compare affiliation

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1144636119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TENNESSEE ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081822",
            "telephone_number": "731-212-3196",
            "fax_number": "731-212-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TENNESSEE ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081822",
            "telephone_number": "731-212-3196",
            "fax_number": "731-212-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Tennessee St",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380081822",
            "country_code": "US",
            "telephone_number": "731-609-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYERS",
        "first_name": "GREGARY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18850",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "18850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010912",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latreace S Brown
• Kimberly Bryant-Holman, PHARM D
• Renita Gail Bufford-Jones
• Mary Jean Bufford, LCSW
• Michael Aaron Burks, PHARM.D.
• Tracy Renee Callahan, RN
• Jeanne Beth Carrington, RN
• Jason Carter, PHARM D.
• Thomas J Caruthers Jr., MD
• Randall Wayne Castellaw

• Rural Health Clinic/Center in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.