Active NPI
George E. Grimsley, D.C.
- Chiropractor
- Dothan, AL
National Provider Identifier
1447243613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 914
- Practice address
- 110 W Burdeshaw St
Dothan, AL 36303-4504 - Phone
- (334) 793-7880
- Fax
- (334) 793-3081
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 914 | AL | Primary |
Addresses
Primary practice location
110 W Burdeshaw St
Dothan, AL 36303-4504
Mailing address
PO Box 1230
Dothan, AL 36302-1230
Phone (334) 793-7880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 914 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1447243613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1230",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363021230",
"telephone_number": "334-793-7880",
"fax_number": "334-793-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W BURDESHAW ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363034504",
"telephone_number": "334-793-7880",
"fax_number": "334-793-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMSLEY",
"first_name": "GEORGE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.