Active NPI
Trey Kohr Nettles, MD
- Military Health Care Provider
- Fort Bragg, NC
National Provider Identifier
1477318921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 17023
- Practice address
- 2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0001 - Phone
- (910) 907-6000
- NPI assigned
- Feb 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 17023 | GA | Primary |
Addresses
Primary practice location
2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0001
Mailing address
2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0001
Other practice location 1
300 East Hospital Road
Fort Eisenhower, GA 30905-5650
Phone (706) 787-5811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1477318921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVENUE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVENUE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-6000"
}
],
"practiceLocations": [
{
"address_1": "300 East Hospital Road",
"address_purpose": "LOCATION",
"city": "Fort Eisenhower",
"state": "GA",
"postal_code": "309055650",
"country_code": "US",
"telephone_number": "706-787-5811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NETTLES",
"first_name": "TREY",
"middle_name": "KOHR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-14",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "GA",
"license": "17023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.