Rodrick R. Gregory, M.D.,P.C. – Psychiatry Physician

Key facts

NPI: 1295093383
Entity type: Organization (NPI type 2)
Primary specialty: Psychiatry Physician 2084P0800X
License: MD 31944 (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
Organization subpart: No

Authorized official

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

Practitioners 2

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

Charlotte L Daniels, LCSW Clinical Social Worker · Pulaski, TN · NPI 1164596839

NPD (past)
Thomas David Daniels, LCSW Clinical Social Worker · Pulaski, TN · NPI 1134287832

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician Group: 193400000X SINGLE SPECIALTY GROUP	2084P0800X	MD 31944	TN	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2012.

{
    "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

All providers in Pulaski, TN · Psychiatry Physician in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.