Individual provider Active NPI

Gregory Perry, LCSW

  • Clinical Social Worker
  • Jackson, TN
National Provider Identifier
1871462523
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9748 Issued in TN
Practice address
1186 Hwy 45 Bypass Ste D
Jackson, TN 38301-3256
Phone
(731) 215-0502
Fax
(731) 345-4086
NPI assigned
Oct 31, 2025
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9748 TN Primary

Addresses

Primary practice location

1186 Hwy 45 Bypass Ste D
Jackson, TN 38301-3256

Mailing address

1186 Hwy 45 Bypass Ste D
Jackson, TN 38301-3256
Phone (731) 215-0502

Medicare participation

Medicare enrollment files
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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9748TNMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Resources, LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

1186 Highway 45 Byp
#D
Jackson, TN 38301
Phone (731) 215-0502

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1871462523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 HWY 45 BYPASS STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013256",
            "telephone_number": "731-215-0502",
            "fax_number": "731-345-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 HWY 45 BYPASS STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013256",
            "telephone_number": "731-215-0502",
            "fax_number": "731-345-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "GREGORY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.