Active NPI
David Manson Grisham, NP-C
- Family Nurse Practitioner
- Madison, AL
National Provider Identifier
1487042800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-097187
- Practice address
- 8375 Highway 72 W
Madison, AL 35758-9573 - Phone
- (256) 265-2012
- NPI assigned
- Jan 7, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-097187 | AL | Primary |
Addresses
Primary practice location
8375 Highway 72 W
Madison, AL 35758-9573
Mailing address
8375 Highway 72 W
Madison, AL 35758-9573
Phone (256) 265-2012
Other practice location 1
2908 Mall Rd
Florence, AL 35630-1641
Phone (256) 767-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2908 Mall Rd
Florence, AL 35630-1534
Phone (256) 767-2702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-097187 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens-Limestone ER Physicians | Current | Accepting new patients | |
| Med Plus, Inc | Current | Accepting new patients |
Locations
700 W Market St
Athens, AL 35611
Phone (256) 233-9292
2908 Mall Rd
Florence, AL 35630
Phone (256) 767-2702
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Florence, AL
- NPI 1164408571
-
- Emergency Medicine Physician
- Athens, AL
- NPI 1528314119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1487042800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8375 HIGHWAY 72 W",
"city": "MADISON",
"state": "AL",
"postal_code": "357589573",
"telephone_number": "256-265-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8375 HIGHWAY 72 W",
"city": "MADISON",
"state": "AL",
"postal_code": "357589573",
"telephone_number": "256-265-2012"
}
],
"practiceLocations": [
{
"address_1": "2908 Mall Rd",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356301641",
"country_code": "US",
"telephone_number": "256-767-2702",
"fax_number": "256-712-6275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRISHAM",
"first_name": "DAVID",
"middle_name": "MANSON",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-07",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-097187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.