Grisham Associates LTD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1336 Issued in GA

Legal business name

GRISHAM ASSOCIATES LTD

Practice address

8910 Main St
Woodstock, GA 30188-4916

Phone

(770) 924-1818

Fax

(770) 928-5731

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Milton GrishamNPI 1235255019

Title

Psychologist

Phone

(770) 924-1818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Grisham Associates, LTD.

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1558580571

  O20080813000418

  Same enrollment

Tax ID family

Grisham Associates LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grisham Associates, LTD.

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1558580571
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milton Grisham, PHD

  • Clinical Psychologist
  • Woodstock, GA
  • NPI 1235255019
  Medicare reassignment Care Compare group Authorized official
• Joanna W. Grisham, PH.D.

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1427277441
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639295405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 CHILDERS WAY NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884916",
            "telephone_number": "770-924-1818",
            "fax_number": "770-928-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISHAM ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRISHAM",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-924-1818"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg Chiropractic Center, Inc.
• Brian Glen Gregg, DC
• Jackson Kelley Griffeth, DMD, MSD
• Amanda Rose Griffin
• Erin Johnson Grigsby, P.T.
• Gabriel Leonard Grisham, DMD
• Milton Grisham, PHD
• Timothy Gross, AMFT
• Grounding Flight
• Karen Gudger, LCSW

• Psychologist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.