NPIMap

Organization Active NPI

GNR PLLC

  • Primary Care Clinic/Center
  • Cleveland, TN
National Provider Identifier
1194529313
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GNR PLLC
Practice address
110 Keith St SW Ste 1
Cleveland, TN 37311-5868
Phone
(423) 614-6650
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Gina Patterson
Title
Owner
Phone
(423) 614-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

110 Keith St SW Ste 1
Cleveland, TN 37311-5868

Mailing address

PO Box 5450
Cleveland, TN 37320-5450
Phone (423) 614-6650

Other names 2

  • PHD PHARMACY Doing business as
  • PHD PHARMACY CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GNR PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 Keith St SW
Ste 1
Cleveland, TN 37311
Phone (423) 614-6650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1194529313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5450",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373205450",
            "telephone_number": "423-614-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KEITH ST SW STE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115868",
            "telephone_number": "423-614-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-614-6650"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHD PHARMACY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.