Active NPI
Gladys Grissett
- Driver
- Doraville, GA
National Provider Identifier
1316494867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 16075520
- Practice address
- 2300 Global Forum Blvd Unit 712
Doraville, GA 30340-4484 - Phone
- (678) 515-6288
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 16075520 | GA | Primary |
Addresses
Primary practice location
2300 Global Forum Blvd Unit 712
Doraville, GA 30340-4484
Mailing address
2300 Global Forum Blvd Apt 712
Doraville, GA 30340-4484
Phone (678) 515-6288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16075520 | GA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1316494867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 GLOBAL FORUM BLVD APT 712",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303404484",
"telephone_number": "678-515-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GLOBAL FORUM BLVD UNIT 712",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303404484",
"telephone_number": "678-515-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISSETT",
"first_name": "GLADYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "GA",
"license": "16075520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doraville, GA
- Rachel Adele Genrich, CCC-SLP
- Sarah Micaiah Gerber, CCC-SLP
- Charlene Linoshka Goljevscek, OTR/L
- Gpa Treatment, Inc.
- Mike Greenberg, D.C.
- Gyk Investment Inc
- Selena Brianna Harris, OTD, MS, OTR/L
- Jataris Deanthony Hatten, MS
- Healthchoice Clinic of Johns Creek.L.L.C.
- Healthmed Interventional Pain Management
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.