Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Katie Greene Pegram, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780977207

Mrs. Katie Greene Pegram, MD is a Student in an Organized Health Care Education/Training Program in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

490 Dunlop Ln
Clarksville, TN 37040-5007
Phone: (931) 245-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 51676 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780977207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2011
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

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