Courtney Carol Grosskopf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0023510 Issued in TX

Practice address

1459 Laney Walker Blvd
Augusta, GA 30912-0002

Phone

(706) 721-4025

Fax

(706) 721-7313

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1639335482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PINE FOREST CIR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786655649",
            "telephone_number": "210-215-8550",
            "fax_number": "210-215-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "706-721-4025",
            "fax_number": "706-721-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSKOPF",
        "first_name": "COURTNEY",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0023510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Griffis, CRNA
• Raymond William Griffith, CRNA
• Patrick David Grimm, MD
• Kristen Voncyle Hughes Grisham, DMD
• Hartmut Gross, MD
• Peter Daniel Grossman, M.D
• Cassandra Groth
• Kenneth L Grotz, MD
• Annabeth Grover
• Michael William Groves, M.D.

• Dentist in Augusta, GA
• Providers in Augusta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.