Individual provider Active NPI

Gregory Corey Claxton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1174087860
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN254453 Issued in GA
Practice address
600 Coastal Village Dr
Brunswick, GA 31520-1973
Phone
(912) 554-8500
Fax
(912) 351-6309
NPI assigned
Jan 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN254453 GA Primary

Addresses

Primary practice location

600 Coastal Village Dr
Brunswick, GA 31520-1973

Mailing address

267 N Harrington Rd
Saint Simons Is, GA 31522-5341
Phone (912) 634-0959

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190604000215 GA Practitioner - Nurse Practitioner 9335472570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN254453GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Behavioral Health Services CurrentSince Mar 2, 2019 Accepting new patients
Gateway Community Service Board Single Specialty CurrentSince Mar 2, 2019 Accepting new patients

Locations

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

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.

NPI Registry JSON

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1174087860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N HARRINGTON RD",
            "city": "SAINT SIMONS IS",
            "state": "GA",
            "postal_code": "315225341",
            "telephone_number": "912-634-0959",
            "fax_number": "912-634-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COASTAL VILLAGE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201973",
            "telephone_number": "912-554-8500",
            "fax_number": "912-351-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAXTON",
        "first_name": "GREGORY",
        "middle_name": "COREY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-26",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN254453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.