Gregory Strayhorn, MD, PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

049522 Issued in GA

Practice address

1513 East Cleveland Ave
BLDG. 500
East Point, GA 30344-6947

Phone

(404) 752-1000

Fax

(404) 756-5274

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Gregory Strayhorn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1528068194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DRIVE, SE",
            "address_2": "HARRIS BLDG, STE 100-A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1400",
            "fax_number": "404-756-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 EAST CLEVELAND AVE",
            "address_2": "BLDG. 500",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446947",
            "telephone_number": "404-752-1000",
            "fax_number": "404-756-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAYHORN",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000894088B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "STRAYHORN",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Family Medicine Physician in East Point, GA
• Providers in East Point, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.