Active NPI
Dacenta Grice, PA
- Medical Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 003279
- Practice address
- 2140 Peachtree Rd NW Ste 232
Atlanta, GA 30309 - Phone
- (404) 231-4431
- Fax
- (404) 231-5677
- NPI assigned
- Jan 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003279 | GA | Primary |
Addresses
Primary practice location
2140 Peachtree Rd NW Ste 232
Atlanta, GA 30309
Mailing address
2140 Peachtree Rd NW Ste 232
Atlanta, GA 30309-1316
Phone (404) 231-4431
Other practice location 1
5582 Memorial Dr
Stone Mountain, GA 30083-3215
Phone (404) 298-8998
Other practice location 2
5582 Memorial Dr
Stone Mountain, GA 30083-3215
Phone (404) 298-8998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003279 | GA | MD | Emergency Medicine Physician |
| 3279 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcura Health, Inc. | Current | Accepting new patients |
Locations
2140 Peachtree Rd NW
Ste 232
Atlanta, GA 30309
Phone (888) 708-0561
5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965
770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658
Interoperability endpoints
- dacenta.grice@oakhurst.gadirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Stone Mountain, GA
- NPI 1417011487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1003205287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 PEACHTREE RD NW STE 232",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091316",
"telephone_number": "404-231-4431",
"fax_number": "404-231-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 PEACHTREE RD NW STE 232",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-231-4431",
"fax_number": "404-231-5677"
}
],
"practiceLocations": [
{
"address_1": "5582 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Stone Mountain",
"state": "GA",
"postal_code": "300833215",
"country_code": "US",
"telephone_number": "404-298-8998",
"fax_number": "404-298-7658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5582 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Stone Mountain",
"state": "GA",
"postal_code": "300833215",
"country_code": "US",
"telephone_number": "404-298-8998",
"fax_number": "404-298-7658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRICE",
"first_name": "DACENTA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.