Individual provider Active NPI

Jemma Price Grindstaff, PH.D.

  • Psychologist
  • Raleigh, NC
National Provider Identifier
1396040762
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3273 Issued in NC
Practice address
9220 Fairbanks Dr
Suite 250
Raleigh, NC 27613-1405
Phone
(919) 896-8214
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3273 NC Primary

Addresses

Primary practice location

9220 Fairbanks Dr
Suite 250
Raleigh, NC 27613-1405

Mailing address

9220 Fairbanks Dr
Suite 250
Raleigh, NC 27613-1405
Phone (919) 896-8214

Other identifiers 1

IdentifierTypeStateIssuer
6001290 MPNMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220211000183 NC Practitioner - Clinical Psychologist 0143613331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Carolina at Chapel Hill School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Renee Lynn CT
Carrboro, NC 27510-6511
Phone (919) 966-5156

101 Manning Dr
Chapel Hill, NC 27514-4220

101 Renee Lynn CT
Carrboro, NC 27510-6511
Phone (919) 966-5171

105 Renee Lynn CT
Carrboro, NC 27510-6511
Phone (919) 966-4359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3273NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Clinical CurrentSince Jan 21, 2026 Accepting new patients

Locations

100 Technology Dr
Ste A
Asheville, NC 28803
Phone (828) 251-6319

100 Renee Lynn Ct
Carrboro, NC 27510
Phone (919) 966-5156

8401 University Exec Park Dr
Ste 100
Charlotte, NC 28262
Phone (919) 445-2365

925 Revolution Mill Dr
Ste 7
Greensboro, NC 27405
Phone (336) 334-5773

4301 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 445-5800

Organizations & group practices 1

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": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1396040762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 FAIRBANKS DR",
            "address_2": "SUITE 250",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131405",
            "telephone_number": "919-896-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 FAIRBANKS DR",
            "address_2": "SUITE 250",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131405",
            "telephone_number": "919-896-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDSTAFF",
        "first_name": "JEMMA",
        "middle_name": "PRICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001290 MPN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.