NPIMap

Grady Memorial Hospital Corporation

Organization Active NPI General Acute Care Hospital · Atlanta, GA

NPI 1992799050 · NPPES record last updated Jan 21, 2025

Key facts

NPI
1992799050
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
060069 (GA)
Legal business name
GRADY MEMORIAL HOSPITAL CORPORATION
Practice address
80 Jesse Hill Jr Dr, SE
Atlanta, GA 30303-3050
Phone
(404) 616-1000
NPI assigned
Sep 6, 2005
Organization subpart
No

Authorized official

Name
Mark Meyer
Title
Cfo
Phone
(404) 616-2315

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 807

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 807

Affiliated clinicians 1,313

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,313

Medicare Care Compare: Hospital

Listed as
Grady Memorial Hospital CCN 110079
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Grady Memorial Hospital CCN 11T079
Ownership
Non-profit
Certified
May 15, 2024

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in GA

Hospital certification: CCN 110079

Legal name
GRADY MEMORIAL HOSPITAL CORPORATION
Doing business as
GRADY HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 31, 2025
Beds
953 (500 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jun 1, 2008 (1 total)
Organization structure
Corporation · Non-profit
Incorporated
Dec 21, 2007 in GA
Enrollment address
80 Jesse Hill Jr Dr SE
Suite 2B034
Atlanta, GA 30303-3050
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit

Hospital certification: CCN 11T079

Legal name
GRADY MEMORIAL HOSPITAL CORPORATION
Organization structure
Corporation · Non-profit
Enrollment address
80 Jesse Hill Jr Dr SE
Unit 12 CD
Atlanta, GA 30303-3031
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Swing-bed approved, Psychiatric unit, Rehabilitation unit

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Sheft
Individual 		Corporate Director
Board Member		 Mar 1, 2019
Shan Cooper
Individual 		Corporate Director
Board Member		 Mar 1, 2021
Christine Guillory
Individual 		Corporate Officer
SVP Chief Legal Officer		 Jan 12, 2026
W-2 Managing Employee
SVP Chief Legal Officer		 Jan 12, 2026
Larry Gillerstedt
Individual 		Corporate Director
Board Chair		 Mar 1, 2020
D'Andrea Morning
Individual 		W-2 Managing Employee
VP Compliance;Chief Compl Officer		 Sep 1, 2017
W-2 Managing Employee
Ad;		 Sep 1, 2017 100%
Operational/Managerial Control Sep 1, 2017 100%
Alicia M Ivey
Individual 		Corporate Director
Board Member		 Mar 1, 2022
John W Hollins
Individual 		Corporate Director
Board Member		 Mar 1, 2017
Eric V Thomas
Individual 		Corporate Director
Board Member		 Mar 1, 2021
Bernard N Tokarz
Individual 		Corporate Director
Board Member		 Mar 1, 2021
Pedro P Cherry
Individual 		Corporate Director
Board Member		 Mar 1, 2021
John Gregg
Individual 		Corporate Director
Board Member		 Mar 1, 2021
Timothy Jefferson
Individual 		Corporate Officer Apr 22, 2008
W-2 Managing Employee
Sr. VP of Legal Affairs		 Jun 1, 1998
Corporate Officer
Executive VP, General Counsel		 Apr 15, 2024
W-2 Managing Employee
Executive VP, General Counsel		 Apr 15, 2024
John Haupert
Individual 		Corporate Officer
President/Ceo		 Oct 1, 2011
Rafael Garcia
Individual 		W-2 Managing Employee
Director		 Jan 2, 2024

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crestview Health & Rehabilitation Center
Atlanta, GA · CCN 115525		 Skilled nursing facility Operational/Managerial Control Apr 22, 2008

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040614000100 GA Part B Supplier - Clinic/Group Practice 6406757590 Receives reassigned benefits from 10 practitioners
Practice locations: Atlanta, GA
O20080822000732 GA Part a Provider - Hospital 7517032998 Practice locations: Atlanta, GA; Union City, GA
O20240401000736 GA Part a Provider - Hospital 7517032998 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atlanta, GA

National Provider Directory

Locations

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

145 Edgewood Ave SE
Atlanta, GA 30303
Phone (404) 616-3947

1964 Candler Rd
Decatur, GA 30032

1143 Alpharetta St
Roswell, GA 30075
Phone (404) 616-1550

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 060069 GA Yes
Rehabilitation Hospital 283X00000X
Land Ambulance 3416L0300X 060-30 GA

Addresses

Primary practice location

80 Jesse Hill Jr Dr, SE
Atlanta, GA 30303-3050

Mailing address

80 Jesse Hill Jr Drive, SE
Box 26019
Atlanta, GA 30303-3050
Phone (404) 616-6695

Other identifiers

IdentifierTypeStateIssuer
00000855AMedicaidGA

Other names

  • Grady Health Systems Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2025.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1992799050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DRIVE, SE",
            "address_2": "BOX 26019",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033050",
            "telephone_number": "404-616-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR, SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033050",
            "telephone_number": "404-616-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-616-2315"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "060069",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "060-30",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000855A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grady Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

All providers in Atlanta, GA · General Acute Care Hospital in Georgia

Sources for this page

Verify at the official NPI Registry.