Healthcare Provider Details

I. General information

NPI: 1043896392
Provider Name (Legal Business Name): FELECIA NICOLE GREGORY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FELECIA BARNES NP

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W MARTIN LUTHER KING BLVD STE 1000
CHATTANOOGA TN
37402-2571
US

IV. Provider business mailing address

200 W MARTIN LUTHER KING BLVD STE 1000
CHATTANOOGA TN
37402-2571
US

V. Phone/Fax

Practice location:
  • Phone: 423-269-2255
  • Fax: 888-698-8617
Mailing address:
  • Phone: 423-269-2255
  • Fax: 888-698-8617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN231190
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP231190
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: