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JIMMY L. GREGORY DPM INC NPI 1578773750


NPI Information

NPI: 1578773750
Provider Name: JIMMY L. GREGORY DPM, INC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
3546 COVINGTON HWY
SUITE C
DECATUR, GA
ZIP 30032
Phone: (404) 284-7744
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JIMMY L. GREGORY DPM, INC is a foot surgery podiatrist in Decatur, GA. JIMMY L. GREGORY DPM, INC NPI is 1578773750. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3546 COVINGTON HWY
SUITE C
DECATUR, GA
ZIP 30032-823
Phone: (404) 284-7744
Fax: (404) 284-8006

The provider's authorized official is Veronica Love .
The authorized official title is Office Manager and has the following contact phone number (404) 284-7744.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 9/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery000598GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP6110OTHERGEORGIAMEDICARE PART B
26258020001MEDICARE NSC
3DC7572OTHERGEORGIAMEDICARE RAILROAD
4T78996MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.