Lynn L. Grosvenor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003824 Issued in GA

Practice address

8687 SW 61St Loop
Ocala, FL 34481-6454

Phone

(404) 538-0402

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lynn L. Grosvenor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1891711842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 SW 61ST LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344816454",
            "telephone_number": "404-538-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 SW 61ST LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344816454",
            "telephone_number": "404-538-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSVENOR",
        "first_name": "LYNN",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "GROSVENOR",
            "middle_name": "L.",
            "credential": "PA-C, MPAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Eric Grippo, MD
• Melanie Grizzard, ARNP
• Carolee Grodi, PHARM D
• Jeffrey J. Grodi, PHARM.D.
• Nathan Grossman, M.D.
• Grove Chiropractic LLC
• Schuyler Grove, DC
• Shannon Grow, RN
• Jonathan Douglas Grube
• Charles Michael Grudem, MD

• Physician Assistant in Ocala, FL
• Providers in Ocala, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.