Individual provider Active NPI

Grayson Matthew Gremillion

  • Student in an Organized Health Care Education/Training Program
  • New Orleans, LA
National Provider Identifier
1962701854
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5519 Canal Blvd
New Orleans, LA 70124-2715
Phone
(504) 650-5979
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

5519 Canal Blvd
New Orleans, LA 70124-2715

Mailing address

5519 Canal Blvd
New Orleans, LA 70124-2715
Phone (504) 650-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000715 LA Practitioner - Otolaryngology 0749429025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MG Desalvo MD and GM Gremillion MD AMCGroup PAC ID 2769402254, 4 clinicians

Practice addresses (Care Compare)

3645 Houma Blvd
Metairie, LA 70006-4229
Phone (504) 885-4677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Urgent Care, LLC Past Accepting new patients
Lakeview Urgent Care, LLC Past Accepting new patients
East Jefferson After Hours, Metairie, LLC Past Accepting new patients
East Jefferson After Hours, LLC Past Accepting new patients
Luling Urgent Care, LLC Past Accepting new patients
MHM Urgent Care Mandeville, LLC Past Accepting new patients

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1962701854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 CANAL BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242715",
            "telephone_number": "504-650-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 CANAL BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242715",
            "telephone_number": "504-650-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMILLION",
        "first_name": "GRAYSON",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.