Gregory F Vines, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38604 Issued in TN

Practice address

712 Professional Plaza Dr
Greeneville, TN 37745-5138

Phone

(423) 820-0432

Fax

(423) 525-8795

NPI assigned

Jun 13, 2006

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Blue Ridge Medical Management Corporation

  dba First Assist Urgent Care

  • Urgent Care Clinic/Center
  • Elizabethton, TN
  • NPI 1144380833
  Medicare reassignment NPD
• Wellmont Medical Associates Inc

  dba Ballad Health Medical Associates

  • Pulmonary Disease Physician
  • Bristol, TN
  • NPI 1780986257

  Family Medicine

  Medicare reassignment NPD
• Revida Recovery Centers, PC

  • Addiction Medicine (Family Medicine) Physician
  • Abingdon, VA
  • NPI 1013483486

  TN

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Neurological Surgery Physician
  • Johnson City, TN
  • NPI 1003152307
  NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1982553756
  NPD
• East Tennessee Healthcare Holdings Inc

  dba Overmountain Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gray, TN
  • NPI 1033624853
  NPD
• Wellmont Medical Associates, Inc.

  dba Ballad Health Medical Associates

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1275393522
  NPD
• Blue Ridge Medical Management Corporation

  dba First Assist Urgent Care

  • Urgent Care Clinic/Center
  • Gray, TN
  • NPI 1205866092
  NPD (past)
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Urgent Care Clinic/Center
  • Jonesborough, TN
  • NPI 1972531044
  NPD (past)
• JJ&R Emergency Group of Tennessee, P.C.

  • Emergency Medicine Physician
  • Greeneville, TN
  • NPI 1730130949
  NPD (past)
• Pioneer Foot and Ankle Specialists

  • Podiatrist
  • Bristol, TN
  • NPI 1346661865
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1609819291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PROFESSIONAL PLAZA DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455138",
            "telephone_number": "423-820-0432",
            "fax_number": "423-525-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 PROFESSIONAL PLAZA DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455138",
            "telephone_number": "423-820-0432",
            "fax_number": "423-525-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Marketplace Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "fax_number": "423-282-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Stone Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-224-3701",
            "fax_number": "423-224-3709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 W Oakland Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37604",
            "country_code": "US",
            "telephone_number": "423-915-5000",
            "fax_number": "423-915-5045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINES",
        "first_name": "GREGORY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38604",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "38604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3895386",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Hope Venerable
• Scot Stanley Vermillion, MD
• D Pete Vestal, OD
• Marietta T Vestal, OD
• Maggie L Vickers
• Heather Vines, LMSW
• Eleanor Lynette Wagers, FNP-BC
• Tonya Ann Wagner, BA
• Cari J Wakeman, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0680)

• Family Medicine Physician in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.