GRADY MEMORIAL HOSPITAL CORPORATION (NPI# 1891966578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891966578 |
| Entity Type | Organization |
| Organization Name | GRADY MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | GRADY EMS |
| Practice Address |
80 Jesse Hill Jr Drive Se Box 26042 Atlanta GA 30303-3050 |
| Practice Telephone | 4046168880 |
| Mailing Telephone | 4046168880 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | MS. OZZIE GILBERT (VP FINANCE) |
| Authorized Official Telephone | 4046161796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
060-30 | GA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000000855B | 05 |
| Other Name | Type Code |
|---|---|
| GRADY EMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598362 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm 10b-043, Atlanta, GA 30303-3031 | 2018-11-30 |
| 1396025367 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm Gf, Atlanta, GA 30303-3031 | 2011-08-23 |
| 1427373224 | Grady Memorial Hospital Corporation | Pharmacy | 1575 Northside Dr Nw Bldg 400, Atlanta Tech Center Suite 450, Atlanta, GA 30318-4235 | 2010-04-05 |
| 1437255395 | Grady Memorial Hospital Corporation | Skilled Nursing Facility | 2800 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2006-09-16 |
| 1083629638 | Grady Memorial Hospital Corporation | Pharmacy | 341 Ponce De Leon Ave Ne Rm 110, Atlanta, GA 30308-2012 | 2006-07-30 |
| 1205872223 | Grady Memorial Hospital Corporation | Pharmacy | 48-50 Coca Cola Place, Atlanta, GA 30303-3050 | 2006-06-20 |
| 1992799050 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3050 | 2005-09-06 |
| 1649765686 | Grady Memorial Hospital Corporation | Clinic/Center | 3896 Princeton Lakes Way, Atlanta, GA 30331 | 2018-06-22 |
| 1316294713 | Grady Memorial Hospital Corporation | Pharmacy | 10 Park Place, Atlanta, GA 30303 | 2012-08-06 |
| 1063726339 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Dr Se, Box 26042, Atlanta, GA 30303-3031 | 2010-07-29 |
| Street Address |
80 JESSE HILL JR DRIVE SE BOX 26042 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932566387 | Sara Mitchell Edwards | Registered Nurse | 80 Jesse Hill Jr Drive Se, Atlanta, GA 30303 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479502 | Alliance Transportation Services | Ambulance | 247 Carlyle Park Dr Ne, Atlanta, GA 30307-2883 | 2020-08-28 |
| 1881162451 | Skyline Ems LLC | Ambulance | 2615 Shallowford Rd Ne, Atlanta, GA 30345-1203 | 2018-11-13 |
| 1497249296 | Careway Ems Inc | Ambulance | 2302 Parklake Dr Ne Ste 514, Atlanta, GA 30345-2896 | 2018-06-15 |
| 1578071395 | Core Care Medical Transport, LLC | Ambulance | 1316 Lakewood Ave Se # G-4, Atlanta, GA 30315-2313 | 2018-01-15 |
| 1427562479 | Supreme Medical Transportation LLC | Ambulance | 5241 W Fayetteville Rd Ste A, Atlanta, GA 30349-5413 | 2017-11-29 |
| 1164966164 | Grady Ems LLC | Ambulance | 745 Memorial Dr Se, Atlanta, GA 30316-1185 | 2016-12-09 |
| 1952679748 | The City of Atlanta | Ambulance | 6000 N Terminal Pkwy, Atrium Suite 435, Atlanta, GA 30320-7400 | 2011-12-07 |
| 1205992468 | Capital Ems Inc | Ambulance | 2033 Metropolitan Pkwy Sw, Suite B, Atlanta, GA 30315-5929 | 2006-12-29 |
| 1427081215 | City of Atlanta | Ambulance | 315 Buckner, Atlanta, TX 75551-2238 | 2006-07-08 |
| 1982649877 | Medstat Emergency Medical Services, Inc. | Ambulance | 2975 Metropolitan Pkwy Sw, Suite A, Atlanta, GA 30315-7917 | 2006-06-17 |
| Find all providers in ATLANTA | ||||
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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.