Individual provider Active NPI

Gladys R. Gregory, M.D.

  • Psychiatry Physician
  • Gallatin, TN
National Provider Identifier
1578531745
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35793 Issued in TN
Practice address
1207 Churchill Dr
Gallatin, TN 37066-6503
Phone
(615) 339-7578
Fax
(615) 230-5454
NPI assigned
Mar 14, 2006
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35793 TN Primary

Addresses

Primary practice location

1207 Churchill Dr
Gallatin, TN 37066-6503

Mailing address

113 Trail Dr
Gallatin, TN 37066-2663
Phone (615) 339-7578

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 Medicine

State licenses

LicenseStateTypeSpecialty
35793TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Mental Health Management LLC Psychiatry Past Accepting new patients
Kentucky Addiction Centers Paintsville, LLC PastSince Mar 28, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1578531745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 TRAIL DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662663",
            "telephone_number": "615-339-7578",
            "fax_number": "615-230-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CHURCHILL DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666503",
            "telephone_number": "615-339-7578",
            "fax_number": "615-230-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "GLADYS",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "35793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.