Gerald A Griggs, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012844 Issued in GA

Practice address

201 Pat a Haralson Drive
201 Pat a Haralson Drive
Blairsville, GA 30514-0760

Phone

(706) 745-9999

Fax

(706) 745-9997

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932255080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "address_2": "201 PAT A HARALSON DRIVE",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305140760",
            "telephone_number": "706-745-9999",
            "fax_number": "706-745-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PAT A HARALSON DRIVE",
            "address_2": "201 PAT A HARALSON DRIVE",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305140760",
            "telephone_number": "706-745-9999",
            "fax_number": "706-745-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "GERALD",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "712404964A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9182381",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lissette Goldsberry
• Rodney C. Graber, M.D.
• Grace EMS, LLC (Grace EMS)
• Grace Pediatrics and Wellness, LLC
• Juliet E. Green, LPN
• Jordan H Grizzle, MD
• Bonnie Elaine Gurr, R.PH.
• Laurie Jennifer Guy
• Heather Hall, MD
• Hand4Health LLC

• General Practice Dentistry in Blairsville, GA
• Providers in Blairsville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.