Individual provider Active NPI

Robert Lee Grigsby III, M.D.

  • General Practice Physician
  • St Johns, FL
National Provider Identifier
1245248475
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME34609 Issued in FL
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

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
038622701MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, AL, SC4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041117001175 FL Practitioner - Emergency Medicine 3274597331 Reassigns benefits to 1 organization
I20050914000350 GA Practitioner - Emergency Medicine 3274597331 Reassigns benefits to 4 organizations
I20061025000478 AL Practitioner - Emergency Medicine 3274597331 Reassigns benefits to 2 organizations
I20241114004725 SC Practitioner - Emergency Medicine 3274597331 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024250GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
ME34609FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donalsonville Hospital Inc CurrentSince May 1, 2022 Accepting new patients
Signify Health, LLC General Practice CurrentSince Oct 1, 2021 Accepting new patients
Clinch County Hospital Authority CurrentSince Oct 31, 2015 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Jun 19, 2017 Accepting new patients
Geneva County Healthcare Authority, Inc. CurrentSince Jan 10, 2013 Accepting new patients
Geneva County Healthcare Authority, Inc. CurrentSince Jan 10, 2013 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jan 1, 2016 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.

View all 16

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

Verify at the official NPI Registry.