MACKENZIE LURENE MASHBURN GRILLO (NPI# 1891205373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891205373 |
| Entity Type | Individual |
| Full Name | MACKENZIE LURENE MASHBURN GRILLO |
| Credential | NP |
| Practice Address |
8954 Hospital Dr Douglasville GA 30134-2272 |
| Mailing Address |
3316 High Noontide Way Nw Acworth GA 30101-6967 |
| Practice Telephone | 6786405023 |
| Mailing Telephone | 6786405023 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN191815 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950455 | Mackenzie Grillo | Physical Therapist | 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | 2019-06-07 |
| Street Address |
8954 HOSPITAL DR |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174905 | Eleanor Glaspy-benton | Obstetrics & Gynecology | 8954 Hospital Dr, Suite 120-a, Douglasville, GA 30134-2272 | 2005-09-14 |
| 1194361899 | Danna Michel | Nurse Practitioner | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-11-18 |
| 1144865544 | Wanda Yvonne Wilson-hightower | Nurse Practitioner | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-11-10 |
| 1376184630 | Kyle Robert Schneider | Physician Assistant | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-10-07 |
| 1174187967 | Elizabeth Pressler Aaron | Physician Assistant | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-04-26 |
| 1245744176 | Michael D Mccray | Nurse Anesthetist, Certified Registered | 8954 Hospital Dr, Douglasville, GA 30134 | 2017-11-30 |
| 1194248385 | Steven Derek Harris | Anesthesiology | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2017-07-19 |
| 1306367164 | Advent Anesthesia Partners, LLC | Anesthesiology | 8954 Hospital Dr, Anesthesia Dept, Douglasville, GA 30134-2272 | 2017-07-03 |
| 1578917993 | Naga Ratnakar Davuluri | Anesthesiology | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2016-04-21 |
| 1639533896 | Wellstar Medical Group, LLC | Surgery | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720522030 | Lakietta Culkin-taylor | Nurse Practitioner | 4599 Bellemeade Dr, Douglasville, GA 30135-4924 | 2016-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
| 1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
| 1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
| 1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
| 1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
| 1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
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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.