Individual provider Active NPI

Dacenta Grice, PA

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1003205287
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003279 Issued in GA
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

Updated by the provider on Feb 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
003279GAMDEmergency Medicine Physician
3279GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.