GREGG A WILLIS (NPI# 1336171511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336171511 |
| Entity Type | Individual |
| Full Name | GREGG A WILLIS |
| Credential | MD |
| Practice Address |
935 Spring Creek Rd Ste 100 Chattanooga TN 37412-3994 |
| Practice Telephone | 4232062655 |
| Mailing Telephone | 4232062655 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 19852 | TN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 77232 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1525 Chattanooga Rd, Dalton, GA 307208379 | 7062263373 | 7062260845 |
| Street Address |
935 SPRING CREEK RD STE 100 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37412-3994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366891202 | Jessica Gambill Putman | Obstetrics & Gynecology | 979 E 3rd St Ste 720, Chattanooga, TN 37403-2136 | 2016-06-10 |
| 1992064539 | Carson Tyler Kaeser | Obstetrics & Gynecology | 979 E 3rd St Ste C725, Chattanooga, TN 37403-3329 | 2012-05-15 |
| 1841579620 | Stanley J. Dressler | Obstetrics & Gynecology | 232 Blackwell Farm Rd, Chattanooga, TN 37421 | 2011-08-10 |
| 1376844712 | Doyce Gene Payne | Obstetrics & Gynecology | 2543 Baskette Way, Chattanooga, TN 37421 | 2010-11-16 |
| 1932393626 | Dr. William J. Moss | Obstetrics & Gynecology | 1755 Gunbarrel Rd Ste 205, Chattanooga, TN 37421-3185 | 2007-09-05 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1417970054 | Jack M. Rowland | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2006-07-25 |
| 1063450427 | Elizabeth Maria Bowers | Obstetrics & Gynecology | 1751 Gunbarrel Road, Suite 100, Chattanooga, TN 37421 | 2006-06-04 |
| 1720054042 | Jay Perry White | Obstetrics & Gynecology | 1651 Gunbarrel Rd Ste 201, Chattanooga, TN 37421-3291 | 2006-02-27 |
| 1497720759 | Kirk Warren Brody | Obstetrics & Gynecology | 2341 Mccallie Ave Plaza 3, Suite 403, Chattanooga, TN 37404-3239 | 2006-02-21 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37412 |
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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.