Healthcare Provider Details

I. General information

NPI: 1104818889
Provider Name (Legal Business Name): GREGORY P. ROWBATHAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 DICKERSON PIKE STE. 670
NASHVILLE TN
37207-2519
US

IV. Provider business mailing address

408 42ND AVE N STE 300
NASHVILLE TN
37209-3669
US

V. Phone/Fax

Practice location:
  • Phone: 615-860-4365
  • Fax: 615-860-6895
Mailing address:
  • Phone: 615-356-4111
  • Fax: 615-356-8011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number34332
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: