Individual provider Active NPI

Gregory Laurent Conner, D.O.

  • Emergency Medicine Physician
  • Clarksville, TN
National Provider Identifier
1841239647
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2028 Issued in TN
Practice address
2191 Memorial Dr
Aptartment G95
Clarksville, TN 37043-4797
Phone
(931) 553-7855
NPI assigned
Jun 6, 2006
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02777 KY
Emergency Medicine Physician 207P00000X 2028 TN Primary

Addresses

Primary practice location

2191 Memorial Dr
Aptartment G95
Clarksville, TN 37043-4797

Mailing address

2191 Memorial Dr
Aptartment G95
Clarksville, TN 37043-4797
Phone (931) 553-7855

Other identifiers 3

IdentifierTypeStateIssuer
64062813MedicaidKY
P00255239OtherKYRAILROAD MEDICARE
000000290234OtherKYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050701000185 KY Practitioner - Emergency Medicine 4486690252 Reassigns benefits to 2 organizations
I20090615000683 TN Practitioner - Emergency Medicine 4486690252 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jun 27, 2017 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Sep 9, 2019 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc. Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jul 1, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 24, 2015 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 27, 2020 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Cobblestone Emergency Physicians Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients
North Florida Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Organizations & group practices 17

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.

View all 17

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1841239647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 MEMORIAL DR",
            "address_2": "APTARTMENT G95",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434797",
            "telephone_number": "931-553-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MEMORIAL DR",
            "address_2": "APTARTMENT G95",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434797",
            "telephone_number": "931-553-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "GREGORY",
        "middle_name": "LAURENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "02777",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64062813",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255239",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000290234",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.