Active NPI
Gregory Keith Tice, NP-C
- Family Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-074520
- Practice address
- 118 Obrannan Park Dr
Dothan, AL 36303-2052 - Phone
- (334) 305-2800
- Fax
- (866) 554-1248
- NPI assigned
- Mar 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
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.
-
- Psychiatric Hospital Unit
- Rome, GA
- NPI 1023057775
-
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
- Ambulance
- Rome, GA
- NPI 1356444814
-
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
-
- Community Based Hospice Care Agency
- Rome, GA
- NPI 1699721399
-
- Rehabilitation Hospital Unit
- Rome, GA
- NPI 1801990213
-
- Home Health Agency
- Rome, GA
- NPI 1467535161
-
- Dermatology Physician
- Panama City, FL
- NPI 1518972231
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Floyd Healthcare Management Inc
Practice addresses (Care Compare)
330 Turner McCall Blvd SW
Suite 103
Rome, GA 30165-5631
Phone (706) 509-5620
Hospital & facility affiliations
- Atrium Health Floyd Medical Center
- Southeast Health Medical Center
- Flowers Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190531002080 | AL | Practitioner - Nurse Practitioner | 0547593808 | Reassigns benefits to 1 organization |
| I20210604000604 | GA | Practitioner - Nurse Practitioner | 0547593808 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Dermatology Group PA | Current | Accepting new patients | |
| Rao Heart & Vascular LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
847 W Bypass
Ste J
Andalusia, AL 36420
Phone (334) 305-2800
845 W Bypass
Ste D
Andalusia, AL 36420
Phone (334) 305-2800
112 Haven Dr
Ste 1
Dothan, AL 36301
Phone (334) 673-0049
200 Medical Care Way
Dothan, AL 36303
Phone (334) 305-2800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GAGFCD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-074520 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
118 Obrannan Park Dr
Dothan, AL 36303-2052
Mailing address
118 Obrannan Park Dr
Dothan, AL 36303-2052
Phone (334) 305-2800
Other practice location 1
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
Other practice location 2
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (762) 235-3130
Other practice location 3
101 Redmond Rd NW
Rome, GA 30165-1535
Phone (762) 235-1760
Other practice location 4
2360 Rockmart Hwy
Cedartown, GA 30125-6029
Phone (770) 749-4140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2026.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774742400000",
"number": "1700344488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 OBRANNAN PARK DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363032052",
"telephone_number": "334-305-2800",
"fax_number": "866-554-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 OBRANNAN PARK DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363032052",
"telephone_number": "334-305-2800",
"fax_number": "866-554-1248"
}
],
"practiceLocations": [
{
"address_1": "304 Turner McCall Blvd SW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301655621",
"country_code": "US",
"telephone_number": "706-509-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Redmond Rd NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301651415",
"country_code": "US",
"telephone_number": "762-235-3130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Redmond Rd NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301651535",
"country_code": "US",
"telephone_number": "762-235-1760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2360 Rockmart Hwy",
"address_purpose": "LOCATION",
"city": "Cedartown",
"state": "GA",
"postal_code": "301256029",
"country_code": "US",
"telephone_number": "770-749-4140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TICE",
"first_name": "GREGORY",
"middle_name": "KEITH",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-12",
"last_updated": "2026-03-29",
"certification_date": "2026-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-074520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.