Grisel Eneris Jimenez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

039138 Issued in GA

Practice address

11807 Northfall LN Ste 901
Alpharetta, GA 30009-7972

Phone

(678) 913-8209

Fax

(678) 461-0019

NPI assigned

Dec 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Grisel Eneris Jimenez-Fas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1316183197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 NORTHFALL LN STE 901",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097972",
            "telephone_number": "678-913-8209",
            "fax_number": "678-461-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11807 NORTHFALL LN STE 901",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097972",
            "telephone_number": "678-913-8209",
            "fax_number": "678-461-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "GRISEL",
        "middle_name": "ENERIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-27",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "039138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRISEL",
            "last_name": "JIMENEZ-FAS",
            "middle_name": "ENERIS",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Psychiatry Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.