Active NPI
Elizabeth Ann Grigsby, APRN
- Psychiatric/Mental Health Registered Nurse
- Tucker, GA
National Provider Identifier
1861650129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN080359
- Practice address
- 4823 N Royal Atlanta Dr
Tucker, GA 30084-3806 - Phone
- (770) 939-2121
- Fax
- (770) 908-5784
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN080359 | GA | Primary |
Addresses
Primary practice location
4823 N Royal Atlanta Dr
Tucker, GA 30084-3806
Mailing address
1695 Briarcliff Rd
Macon, GA 31211-1109
Phone (478) 755-1266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN080359 | GA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| LDS Family Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba LDS Family Services Georgia Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucker, GA
- NPI 1295953693
-
- Community/Behavioral Health Agency
- Thompsons Station, TN
- NPI 1437326154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1861650129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 BRIARCLIFF RD",
"city": "MACON",
"state": "GA",
"postal_code": "312111109",
"telephone_number": "478-755-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4823 N ROYAL ATLANTA DR",
"city": "TUCKER",
"state": "GA",
"postal_code": "300843806",
"telephone_number": "770-939-2121",
"fax_number": "770-908-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGSBY",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN080359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.