Phillip G. Grooms, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

026781 Issued in GA

Practice address

515 City Blvd Ste B
Waycross, GA 31501-8016

Phone

(912) 279-4400

Fax

(912) 279-4408

NPI assigned

Jul 13, 2006

Last updated

Feb 14, 2012By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Medicine

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.

• Darling Emergency Physicians LLC

  • Emergency Medicine Physician
  • Waycross, GA
  • NPI 1306058573
  NPD (past)
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1679598122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 764",
            "address_2": "170 THORN RD",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "31510",
            "telephone_number": "912-632-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CITY BLVD STE B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315018016",
            "telephone_number": "912-279-4400",
            "fax_number": "912-279-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "PHILLIP",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL24429",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "026781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffin's Prescription Shop,Inc.
• Donald Neal Griffis Jr., FNP-C
• Grayson Stuart Griffis, D.M.D.
• Janice Griffis, LMSW
• Matthew Ryan Gritzke, PTA
• Gabrielle Alyse Gunter, FNP-C
• Melissa Guthrie-Thomas, LCSW
• Keri Tuten Hale, NP
• Anna Hamilton
• Candice Y Hampton

• Emergency Medicine Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.