Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245403369 Individual Practitioner Female Practitioner

Theresa Sharlene Goss Gregory , RN

Nursing Facility/Intermediate Care Facility • Dublin, GA

Professional Overview & Biography Verified Profile Summary

Theresa Gregory, RN is a registered healthcare professional specializing in Nursing Facility/Intermediate Care Facility in Dublin, GA. Practice services are available at 1826 VETERANS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1826 Veterans Blvd

Dublin, GA 310213620

Telephone 4782721210
Fax 4782772823
Associated Practice Facility / Clinic
🏢 Dublin Vamc Facility NPI 1033168257

Specialty Benchmarks & Practice Insights

Comparative analytics for Nursing Facility/Intermediate Care Facility in Dublin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Dublin, GA (2 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nursing Facility/Intermediate Care Facility Primary Specialty

NUCC Taxonomy Code: 313M00000X

State License GA 130065

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Board Of Nursing
130065 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Qiuping Pan

Family Medicine

NPI 1003080524
Tanisha Holmes , MSPT

Physical Therapist

NPI 1003830167

Master of Science in Physical Therapy

Kenneth Hill

Counselor - Addiction (Substance Use Disorder)

NPI 1003915695
Dr. Revathi Koneru , MD

Psychiatry & Neurology - Psychiatry

NPI 1023060266

Doctor of Medicine (M.D.)

Dr. William Simmons , MD

Psychiatry & Neurology - Psychiatry

NPI 1023074788

Doctor of Medicine (M.D.)

NPI 1023254794

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2008

Registered at 1826 VETERANS BLVD, DUBLIN, GA 310213620 (Tel: 4782721210)

📍
Updated Business Mailing Address April 09, 2008

Registered at 1826 VETERANS BLVD, DUBLIN, GA 310213620 (Tel: 4782721210)

👤
Provider Name / Credentials Updated April 09, 2008

Recorded as THERESA GREGORY, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2008

Nursing Facility/Intermediate Care Facility (License #130065 in GA)

🟢
Initial NPI Registration & Enumeration April 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245403369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2008
Last Update: April 09, 2008
Sole Proprietor: Yes

Mailing Address

1826 Veterans Blvd

Dublin, GA 310213620

Phone: 4782721210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.