Individual provider Active NPI

Lori Allison Grow, MD

  • Radiation Oncology Physician
  • Gainesville, FL
National Provider Identifier
1760493753
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME97371 Issued in FL
Practice address
6420 W Newberry Rd
Gainesville, FL 32605-6621
Phone
(352) 333-5840
Fax
(352) 333-5841
NPI assigned
Aug 11, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME97371 FL Primary

Addresses

Primary practice location

6420 W Newberry Rd
Gainesville, FL 32605-6621

Mailing address

6420 W Newberry Rd
Gainesville, FL 32605-6621
Phone (352) 333-5840

Other practice location 1

795 SW State Road 47
Lake City, FL 32025-0453
Phone (386) 758-2224

Other identifiers 4

IdentifierTypeStateIssuer
305073OtherFLAVMED
68871OtherFLBCBS
277015600MedicaidFL
P00361049OtherFLMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000343 FL Practitioner - Radiation Oncology 9234138686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Stanford University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6420 W Newberry Rd
Gainesville, FL 32605-6621
Phone (352) 333-5840

6420 W Newberry Rd E Wing
1 Florida Cancer Specialists P L
Gainesville, FL 32605-4308
Phone (352) 332-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Radiation Oncology Radiation Oncology CurrentSince Aug 20, 2022 Accepting new patients
North Florida Radiation Oncology LLC Radiation Oncology CurrentSince Aug 20, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Radiation Oncology CurrentSince Dec 31, 2018 Accepting new patients
Integrated Community Oncology Network LLC Radiation Oncology Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Memorial Southside Cancer Center LLC Past Accepting new patients
North Florida Cancer Center Live Oak LLC Radiation Oncology Past Accepting new patients
Physicians for a Community United for Research and Education LLC Radiation Oncology Past Accepting new patients
Physicians for a Community United for Research and Education LLC Radiation Oncology Past Accepting new patients

Locations

6420 W Newberry Rd
Gainesville, FL 32605
Phone (352) 331-1550

6420 W Newberry Rd
Ste 100
Gainesville, FL 32605
Phone (352) 332-3900

6420 W Newberry Rd
Ste 100WING
Gainesville, FL 32605

795 SW State Road 47
Lake City, FL 32025
Phone (386) 401-7066

600 Zeagler Dr
Ste 1
Palatka, FL 32177
Phone (386) 325-8140

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1760493753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056621",
            "telephone_number": "352-333-5840",
            "fax_number": "352-333-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056621",
            "telephone_number": "352-333-5840",
            "fax_number": "352-333-5841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 SW State Road 47",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320250453",
            "country_code": "US",
            "telephone_number": "386-758-2224",
            "fax_number": "386-758-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROW",
        "first_name": "LORI",
        "middle_name": "ALLISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME97371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "305073",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68871",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277015600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00361049",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.