Cary Grinold, FNP,CDE
Individual provider Active NPI Family Nurse Practitioner · Kings Bay, GA
NPI 1104894294 · NPPES record last updated Feb 16, 2011
Key facts
- NPI
- 1104894294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R22890 (NM)
- Practice address
- 881 Uss James Madison Road
Naval Ambulatory Care Center
Kings Bay, GA 31547 - Phone
- (912) 573-6583
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R22890 | NM | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R22890 | NM | Yes |
Addresses
Primary practice location
881 Uss James Madison Road
Naval Ambulatory Care Center
Kings Bay, GA 31547
Mailing address
881 Uss James Madison Road
Naval Ambulatory Care Center
Kings Bay, GA 31547
Phone (912) 573-6583
Other providers in Kings Bay, GA
- Barry Wayne Downing
- Briana Duckworth
- Westley Michael Durnell
- Julio Esquilin
- Gabriel Pablo Florit
- Bhupendra Kumar Gupta
- Matthew Hall
- Lily Swift Hallgring
- Heather Ann Harrison
- Brett Binet Hart
All providers in Kings Bay, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2011. 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.