Anne B Barnwell-Grayson, MD
Individual provider Active NPI Surgery Physician · Galax, VA
NPI 1013046994 · NPPES record last updated Oct 11, 2013
Key facts
- NPI
- 1013046994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 2004-0707 (NM)
- Practice address
- 225 Hospital Dr
Galax, VA 24333-2228 - Phone
- (276) 236-6906
- Fax
- (276) 236-7179
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-0707 | NM | MD | Surgery Physician |
| MD2004-0707 | NM | MD | Surgery Physician |
| 0101040250 | VA | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2004-0707 | NM | Yes |
| Surgery Physician | 208600000X | 0101040250 | VA | |
| Surgery Physician | 208600000X | MD2004-0707 | NM |
Addresses
Primary practice location
225 Hospital Dr
Galax, VA 24333-2228
Mailing address
225 Hospital Dr
Galax, VA 24333-2228
Phone (276) 236-6906
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.