Individual provider Active NPI

Brian Thomas Grisez, MD

  • Orthopaedic Surgery Physician
  • Jesup, GA
National Provider Identifier
1124405568
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
92130 Issued in GA
Practice address
110 Professional CT
Jesup, GA 31545-0044
Phone
(912) 427-0800
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Institute of South Georgia, P.C. 9 clinicians
Effingham Rehab Services, LLC 143 clinicians

Practice addresses (Care Compare)

110 Professional CT
Jesup, GA 31545-0044
Phone (912) 427-0800

123 Canal St
Pooler, GA 31322-4104
Phone (912) 988-1283

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement30

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220829003588 GA Practitioner - Orthopedic Surgery 8022415710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bone and Joint Institute of South Georgia, P.C. Orthopaedic Surgery CurrentSince Oct 3, 2022 Accepting new patients

Locations

948 S Main St
Baxley, GA 31513
Phone (912) 367-9112

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

1912 Memorial Dr
Ste D
Waycross, GA 31501
Phone (866) 806-0800

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X ME150330 FL
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 92130 GA
Orthopaedic Surgery Physician 207X00000X 92130 GA Primary
Orthopaedic Surgery Physician 207X00000X ME150330 FL

Addresses

NPPES NPI Registry

Primary practice location

110 Professional CT
Jesup, GA 31545-0044

Mailing address

110 Professional CT
Jesup, GA 31545-0044
Phone (912) 427-0800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2022.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1124405568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL CT",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450044",
            "telephone_number": "912-427-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL CT",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450044",
            "telephone_number": "912-427-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISEZ",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME150330",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "GA",
            "license": "92130",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "92130",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME150330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.