Organization Active NPI

Rodrick R. Gregory, M.D.,P.C.

  • Psychiatry Physician
  • Pulaski, TN
National Provider Identifier
1295093383
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 31944 Issued in TN
Legal business name
RODRICK R. GREGORY, M.D.,P.C.
Practice address
170 Locker Rd
Pulaski, TN 38478-6000
Phone
(931) 363-1414
Fax
(931) 363-5743
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Rodrick Richard Gregory, M.D.NPI 1629156914
Title
President
Phone
(931) 363-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD 31944 TN Primary

Addresses

Primary practice location

170 Locker Rd
Pulaski, TN 38478-6000

Mailing address

170 Locker Rd
PO Box 270
Pulaski, TN 38478-6000
Phone (931) 363-1414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1295093383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 LOCKER RD",
            "address_2": "PO BOX 270",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384786000",
            "telephone_number": "931-363-1414",
            "fax_number": "931-363-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LOCKER RD",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384786000",
            "telephone_number": "931-363-1414",
            "fax_number": "931-363-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRICK R. GREGORY, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "RODRICK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-363-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD 31944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.