Individual provider Active NPI

Griselda Gallagher, RN

  • Registered Nurse
  • Conyers, GA
National Provider Identifier
1235092503
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN253985 Issued in GA
Practice address
1105 N Main St NW
Conyers, GA 30012-4352
Phone
(770) 761-8889
Fax
(770) 761-0855
NPI assigned
Dec 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN253985 GA Primary

Addresses

Primary practice location

1105 N Main St NW
Conyers, GA 30012-4352

Mailing address

140 Marbrook Trce
Oxford, GA 30054-2746
Phone (770) 761-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN253985GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Daily Haven Inc. CurrentSince Dec 7, 2025 Accepting new patients

Locations

1105 N Main St NW
Conyers, GA 30012
Phone (770) 761-8889

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1235092503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MARBROOK TRCE",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300542746",
            "telephone_number": "770-761-8889",
            "fax_number": "770-761-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N MAIN ST NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124352",
            "telephone_number": "770-761-8889",
            "fax_number": "770-761-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "GRISELDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN253985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.