Individual provider Active NPI

Grigoriy Grigoryan, CRNA

  • Certified Registered Nurse Anesthetist
  • Clinton, NC
National Provider Identifier
1558844738
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5966 Issued in NC
Practice address
607 Beaman St
Clinton, NC 28328-2603
Phone
(240) 566-1603
Fax
(770) 701-6718
NPI assigned
Sep 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 5966 NC Primary
Certified Registered Nurse Anesthetist 367500000X 260470 NC

Addresses

Primary practice location

607 Beaman St
Clinton, NC 28328-2603

Mailing address

PO Box 890235
Charlotte, NC 28289-0235
Phone (844) 246-1591

Other practice location 1

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-6629

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggrigorjans113927@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218002993 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527303643 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, 78 clinicians

Practice addresses (Care Compare)

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3000

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 873-9533

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5966NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hospital Inc Current Accepting new patients
Cumberland County Hospital System Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 24, 2021 Accepting new patients
Johnston Health Services Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2022 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 10, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 24, 2021 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2025 Accepting new patients
Granville Health System CurrentSince Mar 18, 2025 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2021 Accepting new patients
Granville Health System Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 27, 2020 Accepting new patients
Sampson Regional Medical Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 Accepting new patients
Chatham Hospital, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Johnston Health Services Corporation CurrentSince Apr 7, 2022 Accepting new patients
Sampson Regional Medical Services, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

1505 SW Cary Pkwy
Ste 100
Cary, NC 27511
Phone (919) 415-1360

603 Beaman St
Ste 200
Clinton, NC 28328
Phone (910) 592-8711

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1558844738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890235",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890235",
            "telephone_number": "844-246-1591",
            "fax_number": "770-701-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "240-566-1603",
            "fax_number": "770-701-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-938-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGORYAN",
        "first_name": "GRIGORIY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "5966",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "260470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggrigorjans113927@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.