Carolyn Jones Grimball

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

505 Issued in SC

Practice address

Palmetto Health Baptist
Taylor at Marion Streets
Columbia, SC 29201

Phone

(803) 296-2548

Fax

(803) 296-2548

NPI assigned

Mar 7, 2006

Sex

Female

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

State licenses

Practice roles

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.

• Carolina Anesthesiology Associates PA

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1821589938
  NPD (past)
• Carolina Anesthesiology Associates PA

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1851486781
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1225005333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 GREYSTONE BLVD",
            "address_2": "1ST FLOOR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108004",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALMETTO HEALTH BAPTIST",
            "address_2": "TAYLOR AT MARION STREETS",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMBALL",
        "first_name": "CAROLYN",
        "middle_name": "JONES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0516",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Griggs
• Roger Kevin Griggs, MD
• Armen Grigoryan, DDS
• Logan Grillot
• Nicholas Anthony Grimaldi, D.O.
• Norah Grimball
• James M. Grimes, PA
• William P Grimes, M.D.
• Ashley Lynne Grimmick, MSN, APRN, FNP-BC
• Cassidy Grimsley, APRN

• Certified Registered Nurse Anesthetist in Columbia, SC
• Providers in Columbia, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.