=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700705829
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OLIVER L GREGORY MD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7345 COURAGE WAY STE 101
-----------------------------------------------------
City | CHATTANOOGA
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37421-1555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-602-9797
-----------------------------------------------------
Fax | 423-602-9796
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7345 COURAGE WAY STE 101
-----------------------------------------------------
City | CHATTANOOGA
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37421-1555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-602-9797
-----------------------------------------------------
Fax | 423-602-9796
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD/ OWNER
-----------------------------------------------------
Name | OLIVER GREGORY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 423-602-9797
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------