Casey Gregory, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Jonesborough, TN
NPI 1144966656 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1144966656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 31690 (TN)
- Practice address
- 805 W Jackson Blvd
Jonesborough, TN 37659-5270 - Phone
- (423) 850-8190
- Fax
- (423) 850-8191
- NPI assigned
- May 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
502 Ellington Dr
Lafayette, TN 37083-1697
Phone 93125311108053
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729002480 | TN | Practitioner - Nurse Practitioner | 1052793528 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000235205 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033
805 W Jackson Blvd
Jonesborough, TN 37659
Phone (423) 850-8190
502 Ellington Dr
Lafayette, TN 37083
Phone (615) 561-1042
2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000235205 | TN | |
| Family Nurse Practitioner | 363LF0000X | 31690 | TN | Yes |
Addresses
Primary practice location
805 W Jackson Blvd
Jonesborough, TN 37659-5270
Mailing address
805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone (423) 850-8190
Other practice location 1
502 Ellington Dr
Lafayette, TN 37083-1697
Phone (615) 561-1042
Other providers in Jonesborough, TN
- Good Day ABA, PLLC
- Beth A Goodman
- Philip Bradley Gray
- Donna L Greenlee
- Karen Sue Gregg
- Jennifer Nicole Hammitt
- Brittany Sue Harbit
- John Alfred Harris
- Isabelle Harvey
- Kristi Rachelle Hatley
All providers in Jonesborough, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.