Individual provider Active NPI

Gregory R Renck, M.D.

  • Psychiatry Physician
  • Cary, NC
National Provider Identifier
1275645400
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9801459 Issued in NC
Practice address
102 Commonwealth CT Ste H
Cary, NC 27511-4437
Phone
(919) 465-1443
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35C.003153 OH
Psychiatry Physician 2084P0800X 9801459 NC Primary
Child & Adolescent Psychiatry Physician 2084P0804X 9801459 NC
Neurology Physician 2084N0400X 25504 MS
Psychiatry Physician 2084P0800X 27514 WV
Psychiatry Physician 2084P0800X E-11057 AR
Psychiatry Physician 2084P0800X 56055 TN

Addresses

Primary practice location

102 Commonwealth CT Ste H
Cary, NC 27511-4437

Mailing address

PO Box 208
Leland, NC 28451-0208
Phone (703) 766-6555

Other practice location 1

1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4100

Other practice location 2

146 E Hospital Dr Ste 120A
West Columbia, SC 29169-4800
Phone (803) 936-7460

Other practice location 3

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Other practice location 4

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 384-6493

Other practice location 5

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

Other practice location 6

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

Other identifiers 1

IdentifierTypeStateIssuer
89132V6MedicaidNC

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net
Direct Messaging Address grenck105588@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address grenck105588@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address grenck178513@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV, NJ, AR, LA, AL, MI, SC, MO, TN, VA, WI, CA, IA, WY, MD, DC, MS, GA, KS, OK, OH22 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 22

Enrollment IDStateProvider typePAC IDDetails
I20080304000266 NC Practitioner - Psychiatry 2668557455
I20170725003535 WV Practitioner - Psychiatry 2668557455 Reassigns benefits to 3 organizations
I20171218003004 NJ Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20180510000114 AR Practitioner - Psychiatry 2668557455 Reassigns benefits to 4 organizations
I20180723000222 LA Practitioner - Psychiatry 2668557455 Reassigns benefits to 3 organizations
I20180919003048 AL Practitioner - Psychiatry 2668557455 Reassigns benefits to 4 organizations
I20190122001414 MI Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20190605000364 SC Practitioner - Psychiatry 2668557455 Reassigns benefits to 5 organizations
I20190703000577 MO Practitioner - Psychiatry 2668557455 Reassigns benefits to 4 organizations
I20190807003973 TN Practitioner - PsychiatryPractitioner - Neurology 2668557455 Reassigns benefits to 6 organizations
I20190906001358 VA Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20190919002773 WI Practitioner - Psychiatry 2668557455 Reassigns benefits to 2 organizations
I20191024000991 CA Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20200203001266 IA Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20200423003056 WY Practitioner - Psychiatry 2668557455 Reassigns benefits to 5 organizations
I20201125000586 MD Practitioner - Psychiatry 2668557455 Reassigns benefits to 2 organizations
I20201125000920 DC Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20210712003079 MS Practitioner - Psychiatry 2668557455 Reassigns benefits to 2 organizations
I20211115001180 GA Practitioner - Psychiatry 2668557455 Reassigns benefits to 2 organizations
I20241016001589 KS Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20250714000413 OK Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization
I20260514004339 OH Practitioner - Psychiatry 2668557455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cookeville Regional Medical CenterGroup PAC ID 7810805736, 51 clinicians
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians
Northeast Arkansas Clinic Charitable Foundation, Inc.Group PAC ID 2961547526, 294 clinicians
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians
Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2497

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone (706) 858-2445

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

13583 Hwy 27
Trion, GA 30753-1511
Phone (706) 238-8360

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 752-6131

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734

255 Baptist Blvd
Columbus, MS 39705-2006

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-4900

452 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-3724

456 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7474

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-0140

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2569

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56055TNMDLicensed Practical Nurse
25504MSMDNeurology Physician
E-11057ARMDPsychiatry Physician
35C.003153OHMDPsychiatry Physician
27514WVMDPsychiatry Physician

Practice roles (60 of 106)

OrganizationSpecialtyStatusNew patients
Henry Ford Wyandotte Hospital CurrentSince Dec 1, 2019 Accepting new patients
Watertown Physician Practices LLC CurrentSince Aug 14, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince May 1, 2021 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Lexington Health Inc Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Dec 1, 2017 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 26, 2020 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
St Agnes Healthcare Inc Neurology CurrentSince Oct 25, 2022 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 1, 2024 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Sep 1, 2018 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Mar 1, 2020 Accepting new patients
Baptist Health Services Neurology CurrentSince May 1, 2023 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Salem Memorial Hospital Current Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Cookeville Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
DCH Provider Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
Lexington Health Inc CurrentSince Sep 1, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 15, 2024 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients
Ottumwa Health Group LLC CurrentSince Dec 9, 2019 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
McLeod Medical Center-Dillon CurrentSince Oct 1, 2025 Accepting new patients
Golden Valley Health Centers CurrentSince Aug 20, 2019 Accepting new patients
Floyd Physicians, LLC Neurology CurrentSince Sep 1, 2020 Accepting new patients
Saint Thomas Medical Partners Neurology CurrentSince Jul 31, 2023 Accepting new patients
St. John Physicians, Inc. Neurology Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 1, 2025 Accepting new patients
United Hospital Center, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Howard Memorial Hospital Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Sep 24, 2018 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Oct 1, 2025 Accepting new patients
Ottumwa Health Group LLC CurrentSince Dec 9, 2019 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Golden Valley Health Center CurrentSince Aug 20, 2019 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Aug 1, 2019 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Golden Valley Health Center Current Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Medical Foundation of Central Mississippi, Inc. Neurology CurrentSince Nov 16, 2021 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Sep 1, 2018 Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Lake Regional Health System CurrentSince Oct 1, 2024 Accepting new patients
Golden Valley Health Center Current Accepting new patients
DCH Provider Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medical Foundation of Central Ms CurrentSince Nov 16, 2021 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Morehouse General Hospital CurrentSince May 21, 2018 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Neurology CurrentSince Aug 1, 2024 Accepting new patients
Baptist Memorial Medical Group Inc Psychiatry CurrentSince May 1, 2021 Accepting new patients
Golden Valley Health Center Current Accepting new patients

Locations (25 of 103)

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

1310 Washington St
Marion, AL 36756
Phone (334) 683-2073

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 526-2200

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1201 Notasulga Rd
Tuskegee, AL 36083
Phone (334) 727-7211

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

Interoperability endpoints

  • Direct secure messaging: grenck105588@direct.wvuhsdirect.com
  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
  • Direct secure messaging: grenck548098@direct.umm.edu
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: grre5450@yourcarecommunity.org

Organizations & group practices 108

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.

View all 108

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1275645400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510208",
            "telephone_number": "703-766-6555",
            "fax_number": "800-731-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMMONWEALTH CT STE H",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114437",
            "telephone_number": "919-465-1443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292245",
            "country_code": "US",
            "telephone_number": "615-396-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 E Hospital Dr Ste 120A",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694800",
            "country_code": "US",
            "telephone_number": "803-936-7460",
            "fax_number": "803-936-7462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Southcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714739",
            "country_code": "US",
            "telephone_number": "662-772-4000",
            "fax_number": "662-772-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Customer Care Way",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953015167",
            "country_code": "US",
            "telephone_number": "209-384-6493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Amalia Dr",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262012239",
            "country_code": "US",
            "telephone_number": "304-473-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENCK",
        "first_name": "GREGORY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35C.003153",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9801459",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "9801459",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "25504",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "27514",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-11057",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "56055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132V6",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grenck105588@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 S Preston St",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254381631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grenck105588@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 S Preston St",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254381631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grenck178513@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 120A",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.