Spencer Malone Gregg, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4987 Issued in TN

Practice address

2323 21St Ave S Ste 400
Nashville, TN 37212-4930

Phone

(615) 861-1114

Fax

(615) 965-4498

NPI assigned

May 12, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 12, 2025 through Aug 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1801532726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OLD HICKORY BLVD APT 4002",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372213040",
            "telephone_number": "601-606-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 21ST AVE S STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124930",
            "telephone_number": "615-861-1114",
            "fax_number": "615-965-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "SPENCER",
        "middle_name": "MALONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Greeson, MD
• Greg Kyser MD LLC
• Brittney Nichole Grega
• Joanna Gregg, MS, RD
• Matthew Michael Gregg, ATC
• William Gregg, MD, MPH
• Donna D Gregoric, RN
• Lisa Michelle Gregory Beck, NNP-BC
• Andrew John Gregory, MD
• David Wilson Gregory, MD

• Medical Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.