Katherine Waldrop Grelle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22936 Issued in MS

Practice address

1800 McFarland Blvd N Ste 150
Tuscaloosa, AL 35406-2178

Phone

(205) 759-1729

Fax

(205) 759-1729

NPI assigned

Sep 18, 2007

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Physician Network, P.C.Group PAC ID 0840337721, 46 clinicians

Afc Florida, LLCGroup PAC ID 2769616762, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Integrative Approaches to Wellness

  • Health Service Clinic/Center
  • Tuscaloosa, AL
  • NPI 1639621527
  Medicare reassignment NPD Authorized official
• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1598090839
  Medicare reassignment Care Compare group NPD
• Afc Florida, LLC

  dba American Family Care

  • Urgent Care Clinic/Center
  • Pace, FL
  • NPI 1205268208

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1386413607
  Medicare reassignment NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1558130716
  Medicare reassignment NPD
• SHC Medical Partners of Florida, LLC

  dba Abode Care Partners

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1861677064
  Medicare reassignment NPD
• Doctors Direct LLC

  • Clinic/Center
  • Destin, FL
  • NPI 1336929660
  NPD Authorized official
• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1255813119
  NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126
  NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  NPD
• Tuscaloosa Integrative Family Medicine, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1629331681
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1770779332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 ADMIRAL CT",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415303",
            "telephone_number": "205-305-0034",
            "fax_number": "205-462-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD N STE 150",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062178",
            "telephone_number": "205-759-1729",
            "fax_number": "205-759-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLE",
        "first_name": "KATHERINE",
        "middle_name": "WALDROP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L2886R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.3071R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246908",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "22936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Dunn Green
• Rohaun Smith Green, ROT
• Lori Greene, MS, RD, LD
• Misha Michelle Greer, LPC
• Gregory Chad Green, OD, PC (VisualEyes)
• Arthur Gresham
• Cathy Gresham, M.D.
• Alyssa Gressang
• Doris Grice
• Dana Barlow Griesbach, CRNP

• Family Medicine Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.