Gary Michael Grimsley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1525 Issued in MD

Practice address

22780 Three Notch Rd
Lexington Park, MD 20653-1538

Phone

(301) 737-0662

Fax

(301) 737-0675

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Green Chiropractic and WellnessGroup PAC ID 5698187466, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Green Chiropractic & Wellness

  • Chiropractor
  • Lexington Park, MD
  • NPI 1760083885
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1457490708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKMAN'S COMP.",
            "identifier": "147743500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "427879",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5870444",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2174552",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS MARYLAND",
            "identifier": "LK96GR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "4794219002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "4794219003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS FEDERAL",
            "identifier": "T289",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Baden Medical Service Incorporated
• Green Chiropractic & Wellness
• Julie Green, LCPC
• Megan Noel Green, D.C.
• Grimsley Chiropractic Services, P.C.
• Lee'Che Gross
• L'Tanya A. Haith, M.D.
• Kimberly Mae Hall, LCSW-C
• Sherry Elizabeth Hamilton, M.T.O.M., L.AC.
• John Sanger Hanson, LIC. AC.

• Chiropractor in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.