Jason Charles Grove, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0102202832 Issued in VA

Practice address

5115 Bernard Dr
Suite 105
Roanoke, VA 24018-4357

Phone

(540) 728-1570

NPI assigned

Jun 29, 2007

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Psychiatry

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Tri Area Community HealthGroup PAC ID 6204748296, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.grove@tachc.eclinicaldirectplus.com

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.

• Tri Area Community Health

  dba Tri Area Community Health at Laurel Fork

  • Federally Qualified Health Center (FQHC)
  • Laurel Fork, VA
  • NPI 1346227584
  Medicare reassignment Care Compare group NPD
• Mountain Psychiatric, LLC

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1720404841
  Medicare reassignment NPD
• Tri Area Community Health

  dba Tri Area Community Health at Floyd

  • Federally Qualified Health Center (FQHC)
  • Floyd, VA
  • NPI 1194908491
  NPD
• Tri Area Community Health

  dba Tri Area Community Health at Grayson County Schools

  • Federally Qualified Health Center (FQHC)
  • Independence, VA
  • NPI 1891676300
  NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1982801288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR",
            "address_2": "SUITE 105",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184357",
            "telephone_number": "540-728-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR",
            "address_2": "SUITE 105",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184357",
            "telephone_number": "540-728-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Christiansburg Pike NE",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913742",
            "country_code": "US",
            "telephone_number": "540-745-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVE",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019726",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102202832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wedonotuse",
            "affiliation": "N",
            "address_1": "5115 Bernard Dr",
            "address_2": "Suite 105",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240184357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Austin Matthew Grooms, PTA
• Crystal Marie Grooms, LPC
• Mason Gross
• Sir Prell Gross, LPC
• Daniel Groth
• GST Management Company (Thompson Family Chiropractic)
• Susan Fowler Guelich, MD
• Kurt W Guelzow, MD
• Karla Guerra, DO
• Jocelyn Guerrero, RBT

• Psychiatry Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.