Active NPI
Deborah S Gregory, DO
- Family Medicine Physician
- Madisonville, KY
National Provider Identifier
1477590412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02301
- Practice address
- 900 Hospital Dr
Madisonville, KY 42431-1653 - Phone
- (270) 825-5100
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02301 | KY | Primary |
Addresses
Primary practice location
900 Hospital Dr
Madisonville, KY 42431-1653
Mailing address
900 Hospital Dr
Madisonville, KY 42431-1644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64023013 | Medicaid | KY | |
| 000000350338 | Other | BCBS PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madisonville Emergency Physicians, Inc. | Past | Accepting new patients | |
| Deaconess Hospital Inc | Past | Accepting new patients | |
| Deaconess Hospital, Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Madisonville, KY
- NPI 1992747273
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1477590412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311653",
"telephone_number": "270-825-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "DEBORAH",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "02301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64023013",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000350338",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.