Active NPI
Danny E Grubbs
Doing business as Jonesboro Internal Medicine Clinic
- Internal Medicine Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C5642
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danny E Grubbs, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115131002 | Medicaid | AR |
Other names 1
- Jonesboro Internal Medicine Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0467975 | Jonesboro Internal Medicine Clinic | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Jonesboro, AR
- NPI 1205896347
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.