Marlie Driver Grogan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP292113 Issued in GA

Practice address

6005 Watson Blvd Ste 100
Byron, GA 31008-6749

Phone

(478) 956-5002

Fax

(478) 956-5003

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063436624
  NPD
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sylvester, GA
  • NPI 1811874696
  NPD

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1508561622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 WATSON BLVD STE 100",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086749",
            "telephone_number": "478-956-5002",
            "fax_number": "478-956-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 WATSON BLVD STE 100",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086749",
            "telephone_number": "478-956-5002",
            "fax_number": "478-956-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "MARLIE",
        "middle_name": "DRIVER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP292113",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN292113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thomas Giordanella, LPC
• Glam Xten Collection, LLC.
• Stephanie Gomez, LCSW
• Grace and Faith Transit LLC
• Lisa Carter Greene, LPC
• Albreia Levonti Hall Crumsey, DMD
• Ellie Parrish Hall, FNP
• James Edward Hall, ED.D, LPC, NCC
• Deidra Hambrick
• Tara Leeann Hamilton, FNP-C

• Family Nurse Practitioner in Byron, GA
• Providers in Byron, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.