LIDEADERICK LAMAR GREGORY PMHNP
NPI 1720859762
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN
About Lideaderick Lamar Gregory Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIDEADERICK LAMAR GREGORY PMHNP (NPI 1720859762) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Tennessee (40177) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lideaderick Lamar Gregory Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lideaderick Gregory reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Memphis, TN 38128
- Reassigned Medicare billing, Tennessee enrollment
- 42 clinicians in this Medicare group
Memphis, TN 38138
- Reassigned Medicare billing, Tennessee enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lideaderick Gregory's NPI number?
The NPI number for Lideaderick Gregory is 1720859762. It was assigned to this individual provider in the NPPES registry on January 9, 2024.
Where is Lideaderick Gregory located?
Lideaderick Gregory practices at 3030 Covington Pike Ste 200, Memphis, TN 38128. The listed phone number is (901) 266-8760.
What is Lideaderick Gregory's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lideaderick Gregory enrolled in Medicare?
Yes. Lideaderick Gregory is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lideaderick Gregory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lideaderick Gregory reassigns Medicare benefits to 2 organizations: Medicos General PLLC (Memphis, TN) and Trinity Psych PLLC (Memphis, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lideaderick Gregory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lideaderick Gregory accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Lideaderick Gregory as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lideaderick Gregory was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lideaderick Lamar Gregory, PMHNP · NPI 1720859762
Psychiatric/Mental Health physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since January 9, 2024.
## Identity
- **NPI:** 1720859762 (Entity type: Individual)
- **Enumerated:** January 9, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 40177 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3030 COVINGTON PIKE STE 200, Memphis, TN 38128-5048
- **Phone:** (901) 266-8760
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medicos General PLLC (NPI 1952402885, Memphis, TN); Trinity Psych PLLC (NPI 1679437461, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720859762) · Data from the CMS NPPES public registry.