NPIMap

Individual provider Active NPI

Tori Brooke Grenade, MD

  • Internal Medicine Physician
  • Eastman, GA
National Provider Identifier
1407233372
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
83844 Issued in GA
Practice address
821 Plaza Ave
Eastman, GA 31023-6757
Phone
(478) 220-5545
Fax
(478) 220-5509
NPI assigned
Apr 29, 2015
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 83844 GA Primary
Pediatrics Physician 208000000X 83844 GA

Addresses

Primary practice location

821 Plaza Ave
Eastman, GA 31023-6757

Mailing address

821 Plaza Ave
Eastman, GA 31023-6757
Phone (478) 220-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016003833 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153636444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Mercer University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Hospitals IncGroup PAC ID 4284797580, 27 clinicians
Eastman Medical Clinic LLCGroup PAC ID 1456709948, 2 clinicians

Practice addresses (Care Compare)

1118 Ga Hwy 96
Kathleen, GA 31047-2111
Phone (478) 975-6890

821 Plaza Ave
Eastman, GA 31023-6757
Phone (478) 220-5545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83844GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastman Medical Clinic LLC CurrentSince Nov 1, 2023 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 1, 2020 Accepting new patients
Houston Hospitals Inc CurrentSince Sep 16, 2019 Accepting new patients
24 On Physicians, PC CurrentSince Jan 1, 2020 Accepting new patients
Houston Hospitals Inc CurrentSince Sep 16, 2019 Accepting new patients
Eastman Pediatric Clinic Pediatrics Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

520 GA Highway 247 S
Ste 501
Bonaire, GA 31005
Phone (478) 352-7110

821 Plaza Ave
Eastman, GA 31023
Phone (478) 220-5545

1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/dodge-ab251eb5
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEGCDD/Endpoint/GEGCDD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1407233372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236757",
            "telephone_number": "478-220-5545",
            "fax_number": "478-220-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236757",
            "telephone_number": "478-220-5545",
            "fax_number": "478-220-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENADE",
        "first_name": "TORI",
        "middle_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "83844",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "83844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.