Organization Active NPI

Danny E Grubbs

Doing business as Jonesboro Internal Medicine Clinic

  • Internal Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1285739292
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C5642 Issued in AR
Legal business name
DANNY E GRUBBS
Doing business as
Jonesboro Internal Medicine Clinic
Practice address
3202 Methodist Dr
Jonesboro, AR 72401-7408
Phone
(870) 932-2221
Fax
(870) 931-3229
NPI assigned
Sep 14, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Danny E Grubbs, MDNPI 1205896347
Title
Owner Physician
Phone
(870) 932-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C5642 AR Primary

Addresses

Primary practice location

3202 Methodist Dr
Jonesboro, AR 72401-7408

Mailing address

3202 Methodist Dr
Jonesboro, AR 72401-7408
Phone (870) 932-2221

Other identifiers 1

IdentifierTypeStateIssuer
115131002MedicaidAR

Other names 1

  • Jonesboro Internal Medicine Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0467975Jonesboro Internal Medicine Clinic3202 Methodist Drive, Jonesboro, AR 72401Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

3202 Methodist Dr
Jonesboro, AR 72401
Phone (870) 930-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1285739292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 METHODIST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017408",
            "telephone_number": "870-932-2221",
            "fax_number": "870-931-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 METHODIST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017408",
            "telephone_number": "870-932-2221",
            "fax_number": "870-931-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY E GRUBBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "870-932-2221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C5642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115131002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesboro Internal Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.