Dr. Jimmy Lee Gregory
Foot & Ankle Surgery
3546 Covington Hwy Suite C
Decatur
, Georgia 30032-1823
Dr. Jimmy Lee Gregory
Foot & Ankle Surgery
3546 Covington Hwy Suite C
Decatur
, Georgia 30032-1823
(404) 284-8006
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jimmy Lee Gregory
- 2140 Calverton Lane
- Atlanta, GA
- Zip : 30331-1210
- Fax : (404) 284-8006
- Phone : (404) 284-7744
Second Address
- Dr. Jimmy Lee Gregory
- 3546 Covington Hwy Suite C
- Decatur, GA
- Zip : 30032-1823
- Fax : (404) 284-8006
- Phone : (404) 284-7744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | POD000598 | GA |
National Provider Identifier
| NPI | 1073574083 |
|---|---|
| Provider Name | Dr. Jimmy Lee Gregory |
| First Address | Atlanta, GA 30331-1210 |
| Second Address | Decatur, GA 30032-1823 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2006 |
| Last Update Date | 02/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000430504G | (05) | GA |
| 000430504G | PEACH STATE (01) | GA |
| 10038991 | AMERIGROUP (01) | GA |
| 309352 | WELLCARE (01) | GA |
| T78996 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.