Individual provider Active NPI

Stewart V Grizzard, MD

  • Family Medicine Physician
  • Eastman, GA
National Provider Identifier
1437201407
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043948 Issued in GA
Practice address
901 Griffin Ave
Eastman, GA 31023-6784
Phone
(478) 448-4435
Fax
(478) 374-0337
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 043948 GA Primary

Addresses

Primary practice location

901 Griffin Ave
Eastman, GA 31023-6784

Mailing address

840 Professional Center Dr
Eastman, GA 31023-6734
Phone (478) 374-7801

Other practice location 1

840 Professional Center Dr
Eastman, GA 31023-6734
Phone (478) 347-7801

Other identifiers 1

IdentifierTypeStateIssuer
000771966OMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000400 GA Practitioner - Family Practice 7416907571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dodge County Hospital AuthorityGroup PAC ID 1759372733, 14 clinicians

Practice addresses (Care Compare)

840 Professional Ctr Dr
Eastman, GA 31023-6734
Phone (478) 374-7801

901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 374-4000

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Eastman, GA, CCN 117053
  • Bleckley Memorial Hospital Hospital, Cochran, GA, CCN 111302
  • Dodge County Hospital Hospital, Eastman, GA, CCN 110092
  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043948GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hightower Physician Services, PC CurrentSince Mar 15, 2018 Accepting new patients
Applecare Memorial Immediate Care Joint Venture LLC CurrentSince Mar 1, 2016 Accepting new patients
Cochran Total Health LLC CurrentSince May 1, 2003 Accepting new patients
Upson Family Medical Center ,LLC Family Medicine CurrentSince Apr 2, 2018 Accepting new patients
Dodge County Hospital Authority Current Accepting new patients
Dodge County Hospital Authority Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Bleckley Emergency Group LLC Past Accepting new patients
N.T. Cardiovascular Center, PC Past Accepting new patients
John a. Glenn Jr. Center for Community Healthcare Inc. Family Medicine Past Accepting new patients
Chandler Womens Health Center Past Accepting new patients

Locations

102 1st St
Cochran, GA 31014
Phone (478) 934-8801

1112 Plaza Ave
Ste B
Eastman, GA 31023
Phone (478) 374-7801

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

840 Professional Center Dr
Eastman, GA 31023
Phone (478) 374-1308

14089 Abercorn St
Savannah, GA 31419
Phone (912) 349-4945

1512 Highway 19 N
Thomaston, GA 30286
Phone (706) 647-2641

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDDGAA

Organizations & group practices 10

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.

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1437201407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-7801",
            "fax_number": "478-374-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236784",
            "telephone_number": "478-448-4435",
            "fax_number": "478-374-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Professional Center Dr",
            "address_purpose": "LOCATION",
            "city": "Eastman",
            "state": "GA",
            "postal_code": "310236734",
            "country_code": "US",
            "telephone_number": "478-347-7801",
            "fax_number": "478-374-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIZZARD",
        "first_name": "STEWART",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000771966O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.