Gregory Wayne Childrey, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

08923 Issued in MS

Practice address

425 Hospital Dr
Suite 5
Columbus, MS 39705-1901

Phone

(662) 240-0095

Fax

(662) 240-0096

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Obstetrics/Gynecology

Education

Medical College of Georgia School of Medicine, 1978

Medicare assignment

May accept Medicare assignment

Group practices

Columbus OBGYN Specialty Center PLLCGroup PAC ID 3375511892, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Columbus OBGYN Specialty Center PLLC

  • Obstetrics & Gynecology Physician
  • Columbus, MS
  • NPI 1366532038
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1821186222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8700",
            "address_2": "425 HOSPITAL DR, STE 5",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050012",
            "telephone_number": "662-240-0095",
            "fax_number": "662-240-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051901",
            "telephone_number": "662-240-0095",
            "fax_number": "662-240-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDREY",
        "first_name": "GREGORY",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "08923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "730-13919",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014256",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles E. Atkins, Jr. DMD
• Ruta Girish Chaudhari, MD
• Michael Olisadumbili Chiadika, MD
• Children'S Health Center of Columbus, Inc.
• Children'S Health Center of Columbus, Inc.
• Robert Chilton Jr., LMSW
• Chiropractic Health Center., PLLC
• Brittany Johnston Chorley
• Seth Chorley
• Chosen 2 Care Medical Center Inc

• Obstetrics & Gynecology Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.

Verify at the official NPI Registry.