Organization Active NPI

G. Gary Leigh, PH.D., P.C.

  • Clinical Psychologist
  • Chattanooga, TN
National Provider Identifier
1366715757
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
TNP590 Issued in TN
Legal business name
G. GARY LEIGH, PH.D., P.C.
Practice address
7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802
Phone
(423) 553-7560
Fax
(423) 648-9291
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. George Gary Leigh, PHDNPI 1215045216
Title
Ceo
Phone
(423) 718-4035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X TNP590 TN Primary

Addresses

Primary practice location

7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802

Mailing address

7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802
Phone (423) 553-7560

Other identifiers 1

IdentifierTypeStateIssuer
0017400OtherTNBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000442 TN Part B Supplier - Clinic/Group Practice 8921267089 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

7345 Courage Way
Ste 100
Chattanooga, TN 37421
Phone (423) 648-9290

7345 Courage Way
#100
Chattanooga, TN 37421
Phone (423) 619-4537

7155 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 553-7560

Practitioners & affiliated clinicians

Practitioners 4

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": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1366715757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210802",
            "telephone_number": "423-553-7560",
            "fax_number": "423-648-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210802",
            "telephone_number": "423-553-7560",
            "fax_number": "423-648-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. GARY LEIGH, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LEIGH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-718-4035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "TNP590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0017400",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.