DR. JIMMY LEE GREGORY (NPI# 1073574083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073574083 |
| Entity Type | Individual |
| Full Name | DR. JIMMY LEE GREGORY |
| Credential | DPM |
| Practice Address |
3546 Covington Hwy Suite C Decatur GA 30032-1823 |
| Mailing Address |
2140 Calverton Lane Atlanta GA 30331-1210 |
| Practice Telephone | 4042847744 |
| Practice Fax Number | 4042848006 |
| Mailing Telephone | 4042847744 |
| Mailing Fax Number | 4042848006 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2009-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000598 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000430504G | 05 | |
| GA | PEACH STATE | 000430504G | 01 |
| GA | WELLCARE | 309352 | 01 |
| GA | AMERIGROUP | 10038991 | 01 |
| Street Address |
3546 COVINGTON HWY SUITE C |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578773750 | Jimmy L. Gregory Dpm, Inc | Podiatrist | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-05-23 |
| 1235343088 | Omolara Kuteyi Md, Inc | Family Medicine | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-05-10 |
| 1487778957 | James Washington Alexander | Ophthalmology | 3546 Covington Hwy, Suite A, Decatur, GA 30032-1850 | 2007-03-19 |
| 1942352778 | Covington Family Care and Specialty Group | Clinic/Center | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-01-18 |
| 1396898144 | Terri Morton Acker | Family Medicine | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-01-18 |
| 1780648568 | Omolara B Kuteyi | Family Medicine | 3546 Covington Hwy, Ste C, Decatur, GA 30032-1823 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902886799 | Jerald Noel Kramer | Podiatrist | 215 Clairemont Ave, Decatur, GA 30030-2505 | 2006-01-18 |
| 1972585990 | Terrence M Graham | Podiatrist | 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 | 2005-11-16 |
| 1699382879 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 1713 S Fm 51 Ste 103, Decatur, TX 76234-3644 | 2020-09-30 |
| 1275142473 | Jeanne Marie Louise Mirbey | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-24 |
| 1154941714 | John C Haight | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-23 |
| 1871113787 | Chandler Ligas | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-21 |
| 1144853649 | Charles Penvose | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-02-13 |
| 1295375269 | Lauren E Kuenzi | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-01-08 |
| 1689214546 | Hemesath Podiatry Pllc | Podiatrist | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2020-01-08 |
| 1932673902 | Kelly Brennan | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-01-14 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.