DR. ROGER WILLIAM GRIM (NPI# 1073609897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073609897 |
| Entity Type | Individual |
| Full Name | DR. ROGER WILLIAM GRIM |
| Credential | DC |
| Practice Address |
815 N Main St Lafayette GA 30728 |
| Mailing Address |
815 N Main St Po Box 1882 Lafayette GA 30728 |
| Practice Telephone | 7066384746 |
| Practice Fax Number | 7066384037 |
| Mailing Telephone | 7066384746 |
| Mailing Fax Number | 7066384037 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO01591 | GA | Chiropractic Providers |
| Street Address |
815 N MAIN ST |
| City | LAFAYETTE |
| State | GA |
| Zip Code | 30728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1083987481 | Krishawna Elaine Montgomery | Counselor | 501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 | 2012-02-15 |
| 1346518198 | William Randall Smith | Behavioral Analyst | 902 Daugherty Street, Lafayette, GA 30728 | 2011-12-08 |
| 1821321506 | John H Rockwell | Contractor | 143 Golden Oaks Dr, La Fayette, GA 30728 | 2009-09-11 |
| 1619113057 | Lookout Mountain Community Services | Community/Behavioral Health | 43 Shady Court, Lafayette, GA 30728 | 2009-01-06 |
| 1326212705 | Lookout Mountain Community Services | Community/Behavioral Health | 1218 Chattanooga St., Lafayette, GA 30728 | 2008-04-17 |
| 1649444084 | Lookout Mountain Community Services | Community/Behavioral Health | 29 Mae Tucker Rd., Lafayette, GA 30728 | 2008-04-16 |
| Find all providers in zip 30728 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514763 | Daniel William Cadona | Chiropractor | 200 Beaullieu Dr Ste 9b2, Lafayette, LA 70508-7230 | 2020-06-26 |
| 1750920237 | Jennings Family Chiropractic Clinic Inc. | Chiropractor | 113 Flagg Place Suite A, Lafayette, LA 70508-7025 | 2019-12-31 |
| 1588219505 | Andrea Lynn Schrock | Chiropractor | 580 Viridian Dr Apt 310, Lafayette, CO 80026-7036 | 2019-08-06 |
| 1437620747 | Alexander James Schepler | Chiropractor | 297 N Us Highway 287 Ste 105, Lafayette, CO 80026-8953 | 2018-12-13 |
| 1538682554 | Jeremy Steel | Chiropractor | 1043 Stuart St Ste 100, Lafayette, CA 94549-4063 | 2017-07-21 |
| 1922534734 | Angelique Miller | Chiropractor | 108 Republic Ave, Suite B, Lafayette, LA 70508-6843 | 2017-05-11 |
| 1356880116 | Jereme' Chais Menard Sr. | Chiropractor | 130 Rue Beauregard Ste A, Lafayette, LA 70508-3130 | 2017-02-13 |
| 1659828143 | Nancy Lam | Chiropractor | 2 Walter Scholer Dr Ste B, Lafayette, IN 47909-6382 | 2016-09-01 |
| 1033563424 | Compass Chiropractic, Inc. | Chiropractor | 1365 Forest Park Cir Ste 102, Lafayette, CO 80026-3195 | 2016-04-21 |
| 1447617683 | Chelsey Lynn Lueken | Chiropractor | 2606 Veterans Memorial Pkwy S Ste 1, Lafayette, IN 47909-9192 | 2016-01-19 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. ROGER WILLIAM GRIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.