GRIMSLEY DENTAL CLINIC, LLC (NPI# 1265681092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265681092 |
| Entity Type | Organization |
| Organization Name | GRIMSLEY DENTAL CLINIC, LLC |
| Practice Address |
115 N Cuthbert St Colquitt GA 39837-3401 |
| Practice Telephone | 2297583345 |
| Practice Fax Number | 2297583339 |
| Mailing Telephone | 2297583345 |
| Mailing Fax Number | 2297583339 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | JOSEPH W GRIMSLEY (DENTIST) |
| Authorized Official Telephone | 2297583345 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
DN010031 | GA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN013335 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300014425A | 05 |
| Street Address |
115 N CUTHBERT ST |
| City | COLQUITT |
| State | GA |
| Zip Code | 39837-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679505283 | Robert Anson Lane | Dentist | 115 N Cuthbert St, Colquitt, GA 39837-3401 | 2006-07-06 |
| 1992065106 | Colquitt Dental Care,llc | Clinic/Center | 115 N Cuthbert St, Colquitt, GA 39837-3401 | 2012-05-22 |
| 1275565889 | Joseph Wayne Grimsley | Dentist | 115 N Cuthbert St, Colquitt, GA 39837-3401 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| 1679069231 | Vashawn Renee Mosley | Nurse Practitioner | Hospital Authority of Miller County, Miller County Hospital, 209 N. Cuthbert Street, Colquitt, GA 39837 | 2018-07-07 |
| 1427572361 | Brittany N. Harrison | Physical Therapist | 514 E. Crawford St., Colquitt, GA 39837 | 2017-08-02 |
| 1629417134 | Trevor Lee Butner | Family Medicine | Miller County Medical Center, 208 N. Cuthbert Street, Colquitt, GA 39837 | 2013-06-18 |
| 1942514609 | Mac Bradley Davis | Nurse Anesthetist, Certified Registered | 209 North Cuthbert Street, Colquitt, GA 39837 | 2010-08-04 |
| 1730410341 | Loving Care Personal Care Home | Assisted Living Facility | 168 East Crawford St, Colquitt, GA 39837 | 2010-01-21 |
| 1528110103 | The Hospital Authority of Miller County | Clinic/Center | 208 North Cuthbert St, Colquitt, GA 39837 | 2007-01-17 |
| 1780293035 | The Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-23 |
| 1508372863 | Megan Odom Battles | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837 | 2017-12-22 |
| 1790108736 | Amy Askew Sanderson | Registered Nurse | 209 N Cuthbert St, Colquitt, GA 39837 | 2014-01-28 |
| Find all providers in zip 39837 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992065106 | Colquitt Dental Care,llc | Clinic/Center | 115 N Cuthbert St, Colquitt, GA 39837-3401 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606490 | Smile Pleasant Hill LLC | Clinic/Center | 828 Pleasant Hill Rd Nw Ste 10, Lilburn, GA 30047-2757 | 2020-10-15 |
| 1982213583 | Munoz Dental Resources LLC | Clinic/Center | 4141 Steve Reynolds Blvd Ste 1, Norcross, GA 30093-3060 | 2020-07-29 |
| 1407474794 | Familia Dentistry of Georgia, LLC | Clinic/Center | 4574 Lawrenceville Hwy Nw Ste 120r, Lilburn, GA 30047-3605 | 2020-07-13 |
| 1336763648 | Bethlehem Orthodontics | Clinic/Center | 426 Exchange Blvd Ste 400, Bethlehem, GA 30620-1791 | 2020-06-02 |
| 1770106882 | Smiles By Dixon PC | Clinic/Center | 690 Lanier Park Dr, Gainesville, GA 30501-2061 | 2020-05-22 |
| 1811516479 | Mouthpeace Dental 4, LLC | Clinic/Center | 541 Forest Pkwy Ste 18, Forest Park, GA 30297-6110 | 2020-04-14 |
| 1427677541 | Mh Dental Group, LLC | Clinic/Center | 1305 Cedarcrest Rd Ste 115, Dallas, GA 30132-8201 | 2020-04-09 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1952935710 | West Cobb Periodontics and Implant Dentistry LLC | Clinic/Center | 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 | 2020-03-02 |
| 1659904241 | Dental Now Kids LLC | Clinic/Center | 4151 Steve Reynolds Blvd Ste 2, Norcross, GA 30093-3060 | 2020-02-21 |
| Find all providers with the same taxonomy | ||||
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| 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.