Individual provider Active NPI

Gregory Robert Joyner, FNP-C

  • Family Nurse Practitioner
  • East Ridge, TN
National Provider Identifier
1831242049
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12168 Issued in TN
Practice address
1508 Tombras Ave
East Ridge, TN 37412-2720
Phone
(423) 867-4969
Fax
(423) 867-4971
NPI assigned
Jan 19, 2007
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN161233 GA
Family Nurse Practitioner 363LF0000X 12168 TN Primary

Addresses

Primary practice location

1508 Tombras Ave
East Ridge, TN 37412-2720

Mailing address

1508 Tombras Ave
East Ridge, TN 37412-2720
Phone (423) 867-4969

Other identifiers 3

IdentifierTypeStateIssuer
3341377MedicaidTN
4186405OtherTNBCBS - TENNESSEE
187060501AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 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
I20070716000297 GA Practitioner - Nurse Practitioner 3577663814 Reassigns benefits to 2 organizations
I20071119000196 TN Practitioner - Nurse Practitioner 3577663814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain ConsultantsGroup PAC ID 7416323514, 16 clinicians
Your Good Health, LLCGroup PAC ID 3173615838, 13 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

102 Dunhill PL NW
Cleveland, TN 37311-3885
Phone (423) 339-9581

14 Fort Town Dr
Ft Oglethorpe, GA 30742-4051
Phone (706) 866-4443

1500 Dug Gap Rd
Dalton, GA 30720-5009
Phone (706) 313-7923

1508 Tombras Ave
East Ridge, TN 37412-2720
Phone (423) 867-4969

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12168TNMDPhysical Therapist
RN161233GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthforce Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gregory.joyner@ingoodhealth.directbygreenway.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1831242049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 TOMBRAS AVE",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122720",
            "telephone_number": "423-867-4969",
            "fax_number": "423-867-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 TOMBRAS AVE",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122720",
            "telephone_number": "423-867-4969",
            "fax_number": "423-867-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN161233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341377",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - TENNESSEE",
            "identifier": "4186405",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187060501A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Ridge, TN

Sources for this page

Verify at the official NPI Registry.