Individual provider Active NPI

Gregory Keith Tice, NP-C

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1700344488
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-074520 Issued in AL
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.

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 133 clinicians

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 Hospital, Rome, GA, CCN 110054
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Southeastern Dermatology Group PA CurrentSince Jul 1, 2023 Accepting new patients
Rao Heart & Vascular LLC CurrentSince Jul 1, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAGFCD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-074520 AL Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.