Genevieve H Groff, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4389 Issued in AZ

Practice address

5030 S Mill Ave
Suite D12
Tempe, AZ 85282-6833

Phone

(480) 894-2823

Fax

(480) 756-6663

NPI assigned

Apr 10, 2009

Last updated

Mar 15, 2018By the provider in NPPES

Sex

Female

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 1

Other names 1

• Ms. Genevieve Smith Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Medical Group LLCGroup PAC ID 9335132604, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Medical Group, LLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1467534487
  Medicare reassignment Care Compare group
• Ana M Sierra de Aragon MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Gilbert, AZ
  • NPI 1528363694
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1578706248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE",
            "address_2": "SUITE D12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826833",
            "telephone_number": "480-894-2823",
            "fax_number": "480-756-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE",
            "address_2": "SUITE D12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826833",
            "telephone_number": "480-894-2823",
            "fax_number": "480-756-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "GENEVIEVE",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480044",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "SMITH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connie Jo Grilley, MED, BCBA, LBA
• Kimberly Joelle Grimm, DPT
• Mark Grimmett, PA-C
• Diane E Grise, N.D.
• Mark J Groberski, PHD
• Payton Gray Gronsky
• Nancy L. Groppenbacher, LMFT
• Anthony Adam Gross, D.C.
• Daniel R Gross, PSY.D.
• Kirsten Gross, M.S.ED.

• Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.

Verify at the official NPI Registry.