Gregory E Ginn, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41239 Issued in TN

Practice address

1995 Highway 51 South
Suite 203
Covington, TN 38018

Phone

(901) 475-5422

Fax

(901) 475-5595

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1801982467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "address_2": "#102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-4068",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 SOUTH",
            "address_2": "SUITE 203",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "38018",
            "telephone_number": "901-475-5422",
            "fax_number": "901-475-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINN",
        "first_name": "GREGORY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G58391",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "6635",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "41239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002003045",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G583910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174908879",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Andrew Freeman
• Savanna Leigh Freeman
• Mario Fulton II, LMSW
• Elizabeth R Garver, RDN, CLC
• Peggy Gilliam, CRNA
• Angela Renee Glass
• Christy Taylor Goforth, APRN, FNP-C
• Liza M Goossens, PTA
• Mandy A Goudy
• Laura Scott Gray, L.P.N.

• All providers in Covington, TN
• Surgery Physician in Tennessee

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