Individual provider Active NPI

Jana Davis Grier, CFNP

  • Family Nurse Practitioner
  • Columbiana, AL
National Provider Identifier
1285903112
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17691 Issued in SC
Practice address
22266 Highway 25
Columbiana, AL 35051-8618
Phone
(205) 669-3138
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17691 SC Primary

Addresses

Primary practice location

22266 Highway 25
Columbiana, AL 35051-8618

Mailing address

22266 Highway 25
Columbiana, AL 35051-8618
Phone (205) 669-3138

Other identifiers 1

IdentifierTypeStateIssuer
NP1962MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413002405 AL Practitioner - Nurse Practitioner 4486813375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lister Health Care CorporationGroup PAC ID 5395646202, 14 clinicians

Practice addresses (Care Compare)

11206 Hwy 25
Calera, AL 35040-6814
Phone (205) 668-0941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lister Health Care Corporation Current Accepting new patients
Columbiana Clinic LLC CurrentSince Mar 1, 2016 Accepting new patients
Lister Health Care Corporation Past Accepting new patients

Locations

30320 AL Highway 53
Ste B
Ardmore, AL 35739
Phone (256) 423-4800

11206 Highway 25
Calera, AL 35040
Phone (205) 668-0941

22266 Highway 25
Columbiana, AL 35051
Phone (205) 669-3138

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19717/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1285903112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22266 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350518618",
            "telephone_number": "205-669-3138",
            "fax_number": "205-669-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22266 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350518618",
            "telephone_number": "205-669-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIER",
        "first_name": "JANA",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1962",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, AL

Sources for this page

Verify at the official NPI Registry.