Mahlon David Grimsley, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1824 Hillandale Rd
Durham, NC 27705-2650

Phone

(919) 957-7862

NPI assigned

Jun 21, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114963691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 ANGIER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035803",
            "telephone_number": "919-957-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 HILLANDALE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052650",
            "telephone_number": "919-957-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "MAHLON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA #",
            "identifier": "1021201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Wilson Grimaud, MD
• Richard Austin Grime, MSW, LCSWA
• Lars Johannes Grimm
• Aime Laureen Grimsley, MSN, FNP-C
• Ashley Grimsley, P.A.
• Ronyka Rawlings Dashon Grizzle, MSW, LCSWA
• Madeline Ann Grobe, PA-C
• Hilary Grocott, M.D.
• K Elizabeth A Grooms, D.D.S.
• Andrew Stephen Grose

• Medical Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.