Grayson Highlands Clinic Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRAYSON HIGHLANDS CLINIC CORP

Practice address

6436 Troutdale Hwy
Troutdale, VA 24378-2023

Phone

(276) 783-1827

Fax

(276) 783-2879

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jane G Sage, NP

Title

Owner

Phone

(276) 579-2128

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1033464060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 TROUTDALE HWY",
            "city": "TROUTDALE",
            "state": "VA",
            "postal_code": "243782023",
            "telephone_number": "276-783-1827",
            "fax_number": "276-783-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 TROUTDALE HWY",
            "city": "TROUTDALE",
            "state": "VA",
            "postal_code": "243782023",
            "telephone_number": "276-783-1827",
            "fax_number": "276-783-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON HIGHLANDS CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-579-2128",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Arnold, FNP
• Paige M Billman, PSY.D
• Penelope Lassiter Halsey, SCHOOL SLP
• Douglas Clark Niemi, DDS
• The Troutdale Community Volunteer Fire Department and Rescue Squad Inc
• Tri Area Community Health (Tri-Area Community Health at Grayson Highlands)

• Family Medicine Physician in Troutdale, VA
• Providers in Troutdale, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.