Individual provider Active NPI

Christina M Grandstaff, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1265868038
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P005206 Issued in NC
Practice address
249 East Hwy 54, Suite 320
Durham, NC 27713
Phone
(919) 753-1080
NPI assigned
Sep 24, 2013
Last updated
Jul 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P005206 NC Primary

Addresses

Primary practice location

249 East Hwy 54, Suite 320
Durham, NC 27713

Mailing address

249 East Hwy 54, Suite 320
Durham, NC 27713-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229001880 NC Practitioner - Clinical Social Worker 9537464573 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P005206NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
B & D Integrated Health Services Psychiatry CurrentSince Dec 9, 2015 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
B & D Integrated Health Services Clinical CurrentSince Dec 9, 2015 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 7, 2024 Accepting new patients

Locations

249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

3000 Rogers Rd
Ste 210
Wake Forest, NC 27587
Phone (919) 385-2120

Interoperability endpoints

  • Direct secure messaging: christina.grandstaff.d1.p1@direct.bdihs.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1265868038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 EAST HWY 54, SUITE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 EAST HWY 54, SUITE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-753-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDSTAFF",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.