Deborah Virginia Gross, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

14099 Issued in MS

Practice address

1200 N State St Ste 450
Jackson, MS 39202-2000

Phone

(601) 957-7343

NPI assigned

Aug 16, 2006

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS, AL, TN, TX4 enrollments

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 4

Specialty

Psychiatry

Education

University of Washington School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Impact Healthcare, PLLCGroup PAC ID 5991065427, 7 clinicians

Pathway Healthcare- Mississippi LLCGroup PAC ID 3779844774, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pathway Healthcare- Mississippi LLC

  • Addiction Medicine (Family Medicine) Physician
  • Laurel, MS
  • NPI 1013425503
  Medicare reassignment Care Compare group NPD
• Boyett Healthcare of Tennessee, PLLC

  dba Impact Healthcare LLC

  • Addiction Medicine (Family Medicine) Physician
  • Jackson, TN
  • NPI 1487185153
  Medicare reassignment Care Compare group NPD
• Boyett Healthcare of Texas PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1962937524
  Medicare reassignment NPD
• Impact Behavioral Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
  • NPI 1386169050

  AL, MS

  Medicare reassignment NPD
• Pathway Healthcare Alabama LLC

  dba Pathway Healthcare Hartselle

  • Addiction Medicine (Family Medicine) Physician
  • Birmingham, AL
  • NPI 1053855122
  Medicare reassignment NPD
• Impact Healthcare, PLLC

  • Internal Medicine Physician
  • Springfield, TN
  • NPI 1639656986
  NPD
• South Mississippi Health Service, Inc

  dba South Mississippi Psychiatric Group

  • Psychiatry Physician
  • Hattiesburg, MS
  • NPI 1447356902

  Addiction Medicine

  NPD (past)
• Pathway Healthcare- I360, LLC

  • Counselor
  • Dallas, TX
  • NPI 1578333688
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1982717997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 URBAN CENTER DR STE 600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422584",
            "telephone_number": "205-208-9312",
            "fax_number": "208-848-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022000",
            "telephone_number": "601-957-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Lincoln Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394023261",
            "country_code": "US",
            "telephone_number": "601-288-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "DEBORAH",
        "middle_name": "VIRGINIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MS",
            "license": "14099",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "14099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114296",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009987395",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611212800",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Kim Grissom, SLP
• Charles Grogan, MD
• Graham Grogan, MD
• Kaley Grant Grogan, FNP-C
• Martin Christopher Groke
• Emily Gekides Grossman, CCC-SLP
• Group Works, LLC
• Tylicia Grove-Overstreet, DNP, PMHNP-BC
• Inderpreet S. Grover, M.D.
• M Lewis Grubbs, D.M.D.

• Addiction Medicine (Psychiatry & Neurology) Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.

Verify at the official NPI Registry.