Darryl S Gross MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DARRYL S GROSS MD PC

Practice address

2280 Salem Rd SE
Suite 102
Conyers, GA 30013-2003

Phone

(770) 860-8860

Fax

(770) 860-8890

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa Denise Gross

Title

Office Administrator

Phone

(770) 860-8860

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDICAL WEIGHT LOSS & FAMILY PRACTICE Other name

Locations

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1285814491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 SALEM RD SE",
            "address_2": "SUITE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132003",
            "telephone_number": "770-860-8860",
            "fax_number": "770-860-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 SALEM RD SE",
            "address_2": "SUITE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132003",
            "telephone_number": "770-860-8860",
            "fax_number": "770-860-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL S GROSS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-860-8860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER ASS",
            "identifier": "GRP6702",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL WEIGHT LOSS & FAMILY PRACTICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trevor Daniel
• Etoyus Daniels, APRN
• Tamara L Daniels
• Tricia Daniels
• Antronette Darrell, LPN
• Raven Davidson
• Robert C Davies, M.D.
• Jessica Davis Gooden
• Amanda Davis Herin, M.D.
• Eric D. Davis, M.D.

• General Practice Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.