Active NPI
Robert Lee Grigsby III, M.D.
- General Practice Physician
- St Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME34609
- Practice address
- 42 Doctors Village Dr
St Johns, FL 32259-2245 - Phone
- (904) 230-5000
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME34609 | FL | |
| General Practice Physician | 208D00000X | ME34609 | FL | Primary |
Addresses
Primary practice location
42 Doctors Village Dr
St Johns, FL 32259-2245
Mailing address
150 Grafft LN
St Augustine, FL 32084-6557
Phone (850) 585-5285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038622701 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, AL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024250 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| ME34609 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donalsonville Hospital Inc | Current | Accepting new patients | |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Clinch County Hospital Authority | Current | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Geneva County Healthcare Authority, Inc. | Current | Accepting new patients | |
| Geneva County Healthcare Authority, Inc. | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Geneva Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| United Florala, Inc | Past | Accepting new patients | |
| Shawmut Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Shorecoast ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| Hale County Hospital | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655
6477 103rd St
Jacksonville, FL 32210
Phone (904) 639-8517
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
11850 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 702-1330
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
42 Doctors Village Dr
St Johns, FL 32259
Phone (904) 230-5000
2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263
102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489
1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575
898 College St
Monticello, GA 31064
Phone (706) 468-0988
1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100
5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Critical Access Hospital
- Homerville, GA
- NPI 1861478851
-
- Rural Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
-
- General Acute Care Hospital
- Geneva, AL
- NPI 1992755292
-
- Critical Access Hospital
- Geneva, AL
- NPI 1134955370
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1609296011
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Emergency Medicine Physician
- Ormond Beach, FL
- NPI 1851349153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1245248475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 GRAFFT LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320846557",
"telephone_number": "850-585-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 DOCTORS VILLAGE DR",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322592245",
"telephone_number": "904-230-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGSBY",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME34609",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME34609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038622701",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.