Individual provider Active NPI

Elizabeth Gregory, MD

  • Psychiatry Physician
  • Suwanee, GA
National Provider Identifier
1346822889
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
102906 Issued in GA
Practice address
1325 Satellite Blvd NW BLDG 500
Suwanee, GA 30024-5665
Phone
(470) 207-9234
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 102906 GA Primary

Addresses

Primary practice location

1325 Satellite Blvd NW BLDG 500
Suwanee, GA 30024-5665

Mailing address

1325 Satellite Blvd NW BLDG 500
Suwanee, GA 30024-5665

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723001728 GA Practitioner - Psychiatry 5193231405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Professionals of Georgia, LLCGroup PAC ID 2567731482, 28 clinicians

Practice addresses (Care Compare)

1325 Satellite Blvd NW
Suite 400
Suwanee, GA 30024-5299
Phone (678) 263-3080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102906GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health Iop LLC CurrentSince Jul 9, 2025 Accepting new patients
Psychiatric Professionals of Georgia, LLC Psychiatry CurrentSince Jul 14, 2025 Accepting new patients

Locations

320 Lanier Ave W
Ste 200
Fayetteville, GA 30214
Phone (404) 850-0653

1325 Satellite Blvd NW
Bldg 500
Suwanee, GA 30024
Phone (470) 207-9234

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1346822889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW BLDG 500",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245665",
            "fax_number": "713-486-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW BLDG 500",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245665",
            "telephone_number": "470-207-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "102906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.