Lideaderick Gregory, PMHNP
NPI 1720859762 · Psychiatric/Mental Health Nurse Practitioner · Memphis, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lideaderick Gregory, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Memphis, TN (NPI 1720859762).
Provider details
- NPI number
- 1720859762
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40177 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-09
- Last updated
- 2026-01-03
- Certified
- 2026-01-03
Frequently asked questions
- What is Lideaderick Gregory's NPI number?
- Lideaderick Gregory's National Provider Identifier (NPI) is 1720859762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lideaderick Gregory's specialty?
- Lideaderick Gregory is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lideaderick Gregory located?
- Lideaderick Gregory's practice location on file with NPPES is 3030 Covington Pike Ste 200, Memphis, TN 38128-5048.
- What is Lideaderick Gregory's phone number?
- The practice phone number listed in the NPPES registry for Lideaderick Gregory is (901) 266-8760.
- Does Lideaderick Gregory accept Medicare?
- Lideaderick Gregory is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lideaderick Gregory's NPI active?
- Yes — Lideaderick Gregory's NPI (1720859762) is active in the NPPES registry as of the last update on 2026-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.