Active NPI
Jordan H Grizzle, MD
- Family Medicine Physician
- Blairsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 98769
- Practice address
- 346 Deep South Farm Rd Ste a
Blairsville, GA 30512-2218 - Phone
- (706) 745-9417
- Fax
- (706) 896-0877
- NPI assigned
- Apr 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 98769 | GA | Primary |
Addresses
Primary practice location
346 Deep South Farm Rd Ste a
Blairsville, GA 30512-2218
Mailing address
346 Deep South Farm Rd Ste a
Blairsville, GA 30512-2218
Phone (706) 745-9417
Other practice location 1
4799 Blue Ridge Dr Ste 104
Blue Ridge, GA 30513-3468
Phone (706) 632-1155
Other practice location 2
304 Shorter Ave NW Ste 201
Rome, GA 30165-4256
Phone (706) 509-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003279288C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
346 Deep S Farm Rd
Suite a
Blairsville, GA 30512-2218
Phone (706) 745-9417
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisy Company
- Mountain Home Health
- Mountain Home Health Services
- Union General Hospital
- Chatuge Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98769 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Medicine LLC | Family Medicine | Current | Accepting new patients |
Locations
346 Deep South Farm Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417
4799 Blue Ridge Dr
Ste 104
Blue Ridge, GA 30513
Phone (706) 492-3200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Blairsville, GA
- NPI 1972766459
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gainesville, GA
- NPI 1912955667
-
- Critical Access Hospital
- Hiawassee, GA
- NPI 1326028978
-
- Home Health Agency
- Blairsville, GA
- NPI 1851831705
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
-
- Home Health Agency
- Hayesville, NC
- NPI 1164811550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1861134967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 DEEP SOUTH FARM RD STE A",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122218",
"telephone_number": "706-745-9417",
"fax_number": "706-896-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 DEEP SOUTH FARM RD STE A",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122218",
"telephone_number": "706-745-9417",
"fax_number": "706-896-0877"
}
],
"practiceLocations": [
{
"address_1": "4799 Blue Ridge Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Blue Ridge",
"state": "GA",
"postal_code": "305133468",
"country_code": "US",
"telephone_number": "706-632-1155",
"fax_number": "706-896-0877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "304 Shorter Ave NW Ste 201",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301654256",
"country_code": "US",
"telephone_number": "706-509-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIZZLE",
"first_name": "JORDAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-09",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "98769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003279288C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.