DR. KRISTY G. MCDONALD-GRIMM (NPI# 1235356759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235356759 |
| Entity Type | Individual |
| Full Name | DR. KRISTY G. MCDONALD-GRIMM |
| Other Name | DR. KRISTINE G. MCDONALD |
| Credential | M.D. |
| Practice Address |
4586 Timber Ridge Dr Suite 200 Douglasville GA 30135 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 7709420457 |
| Practice Fax Number | 7709427699 |
| Mailing Telephone | 7709420457 |
| Mailing Fax Number | 7709427699 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
069069 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003131763B | 05 | |
| GA | 003131763A | 05 |
| Street Address |
4586 TIMBER RIDGE DR SUITE 200 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922086610 | Deepti A Munjal | Internal Medicine | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2006-01-04 |
| 1427506948 | Mesha Mainor | Physical Therapist | 4586 Timber Ridge Dr, Douglasville, GA 30135-7517 | 2016-09-13 |
| 1255888236 | Julianna L. Rock | Pharmacist | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2016-09-07 |
| 1609127778 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2012-09-28 |
| 1164720090 | Jennifer Jordan Dawe | Nurse Practitioner | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2011-03-01 |
| 1831361922 | Kristen A. Peyton | Specialist/Technologist | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2008-03-28 |
| 1548300452 | Douglas Neurology Associates, P.C. | Psychiatry & Neurology | 4586 Timber Ridge Dr, Suite 140, Douglasville, GA 30135-7517 | 2007-02-08 |
| 1295799948 | John P. Copeland Jr. | Physical Therapist | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2006-04-12 |
| 1699739359 | Jeffrey M. Goldberg | Physical Therapist | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396755385 | Navin Prakash Wadehra | Internal Medicine | 6002 Professional Pkwy Ste 220, Douglasville, GA 30134-5627 | 2006-08-09 |
| 1922086610 | Deepti A Munjal | Internal Medicine | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2006-01-04 |
| 1508871468 | Georgia Cancer Specialists I PC | Internal Medicine | 6002 Professional Parkway, Suite 200, Douglasville, GA 30134-5600 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212553 | Tennessee Oncology, Pllc | Internal Medicine | 4645 Battlefield Pkwy, Ringgold, GA 30736-8011 | 2020-07-09 |
| 1265077234 | Hannah Alexis Tunks | Internal Medicine | 1504 N Thornton Ave Ste 102, Dalton, GA 30720-8394 | 2019-11-13 |
| 1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
| 1831519891 | Arelis Salas Robinson | Internal Medicine | 1700 Tree Ln Ste 490, Snellville, GA 30078-6756 | 2014-04-17 |
| 1386063964 | Harpaul Gill | Internal Medicine | 3400c Old Milton Pkwy Ste 400, Alpharetta, GA 30005-4438 | 2014-04-10 |
| 1144664251 | Cancer Center of Middle Georgia, LLC | Internal Medicine | 2400 Bellevue Road, Suite 26 Erin Office Park, Dublin, GA 31021-2989 | 2013-04-19 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
| 1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
| 1770722431 | Satilla Regional Cancer Treatment Center | Internal Medicine | 101 Seymour Ave, Douglas, GA 31533-1917 | 2009-02-19 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on DR. KRISTY G. MCDONALD-GRIMM.
| 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.