Elisabeth Rose Grober, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

4707 Holders Rd
Greensboro, NC 27405-2808

Phone

(309) 210-8557

NPI assigned

May 17, 2021

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: elisabeth.grober.1@16083.direct.athenahealth.com

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment
• Children'S Health Services, P.a.

  • Pediatrics Physician
  • Greenville, NC
  • NPI 1164500575
  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1356915151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 HOLDERS RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052808",
            "telephone_number": "309-210-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 HOLDERS RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052808",
            "telephone_number": "309-210-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBER",
        "first_name": "ELISABETH",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Thomas Grissom, MSW
• Groat Eyecare Associates, P.a.
• Christopher Lanier Groat, MD
• Richard Scott Groat, MD
• Robert Lanier Groat, M.D.
• Lindsay Elizabeth Grobman, DPT
• James Boyd Groce III, PHARMD
• Rachel Groce
• Sarah Fraser Groce, AGACNP-BC
• Troy Douglas Grosely

• Medical Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.