Healthcare Provider Details

I. General information

NPI: 1881060002
Provider Name (Legal Business Name): SARAH J GREGORY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2015
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2292 CHAMBLISS AVE NW STE F
CLEVELAND TN
37311-3862
US

IV. Provider business mailing address

2292 CHAMBLISS AVE NW STE F
CLEVELAND TN
37311-3862
US

V. Phone/Fax

Practice location:
  • Phone: 423-641-4261
  • Fax: 877-370-2529
Mailing address:
  • Phone: 423-641-4261
  • Fax: 877-370-2529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-NP273508
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN20255
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN273508
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: