Jessica H Grice, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-01412 Issued in NC

Practice address

8401 Medical Plaza Dr Ste 275
Charlotte, NC 28262-9718

Phone

(704) 554-8692

NPI assigned

Jul 7, 2008

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1588827075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3547",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280703547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR STE 275",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629718",
            "telephone_number": "704-554-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRICE",
        "first_name": "JESSICA",
        "middle_name": "H",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven S Grey, MA, LPCA
• Tracey Grey, MMT, MLD-C, LMBT
• James William Greyard, MD
• Jewel D Greywoode, M.D.
• Madison Elaine Gribbins, COTA/L
• Ellyn Elizabeth Grider, AUD
• Lugenia Grider, CCE, CD, CPYI, HE II
• Amber Lynn Grier, LCSWA
• Andrew Jordan Grier, MD
• Angelica Grier

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.