Provider Demographics
NPI:1790486363
Name:GREGORY, CHERYL RENEE (APRN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:RENEE
Last Name:GREGORY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5635 PEACHTREE PKWY STE 180
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2823
Mailing Address - Country:US
Mailing Address - Phone:470-938-6670
Mailing Address - Fax:678-272-3144
Practice Address - Street 1:5635 PEACHTREE PKWY STE 180
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2823
Practice Address - Country:US
Practice Address - Phone:470-938-6670
Practice Address - Fax:678-272-3144
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAAPRN-NP190933363LP0808X
GARN190933163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse