Joanna W. Grisham, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1449 Issued in GA

Practice address

1180 Grimes Bridge Rd
#400
Roswell, GA 30075-3986

Phone

(770) 645-5650

NPI assigned

Apr 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 GA

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grisham Associates LTDGroup PAC ID 2163597964, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Grisham Associates LTD

  • Psychologist
  • Woodstock, GA
  • NPI 1639295405
  Medicare reassignment Care Compare group
• Grisham Associates, LTD.

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1558580571
  Authorized official Same address or phone

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427277441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 CHILDERS WAY NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755275",
            "telephone_number": "770-645-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 GRIMES BRIDGE RD",
            "address_2": "#400",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753986",
            "telephone_number": "770-645-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "JOANNA",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cromwell Luke Stull Griffith, PT, DPT
• Teresa Griggs
• Nichole Grimes, MA, LPC, LMHC
• Kerri Owens Grimsley
• Grisham Associates, LTD.
• Benjamin Grodin, MD
• Dana Grooms, MS, CCC-SLP
• Groundbreaking Guidance Services, LLC
• Guardian Home Care, LLC (AccentCare Home Health of Georgia)
• Guardian Personal Care Services of Georgia LLC (AccentCare Personal Care Services of Georgia)

• Clinical Psychologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.