NEIJIA GRISSOM


Address: 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440
Phone: 9197818780

NEIJIA GRISSOM (NPI# 1023518412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023518412
Entity Type Individual
Full Name NEIJIA GRISSOM
Practice Address 3214 Charles B Root Wynd Ste 213
Raleigh
NC 27612-5440
Practice Telephone 9197818780
Mailing Telephone 9197818780
Enumeration Date 2018-02-13
Last Update Date 2018-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 5010243 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 3214 CHARLES B ROOT WYND STE 213
City RALEIGH
State NC
Zip Code 27612-5440

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1811426109 Marquita Randolph-breeden Behavior Technician 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 2017-06-08
1336518554 Travis Edward Williams Counselor 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 2015-09-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053921874 Wake Specialty Phisicians, LLC Internal Medicine 601 Oberlin Rd, Raleigh, NC 27605-1126 2020-08-06
1255825840 Frederick Joseph Derosier Internal Medicine 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 2018-06-18
1326406703 Andrew Ubert Schindzielorz Internal Medicine 5300 Huntingwood Dr, Raleigh, NC 27606-9642 2016-02-01
1841680220 Oswald H Ganley Internal Medicine 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 2015-01-23
1659775831 Caremore Health Nc, PC Internal Medicine 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 2014-10-16
1295147577 Courtney Barrett Internal Medicine 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 2014-05-21
1821357815 Vanitha Gopal Internal Medicine 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 2012-05-10
1093072498 The Carter Clinic,pa Internal Medicine 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 2012-04-23
1497025076 George Stueard Nettles Sr. Internal Medicine 11192 Bayberry Hills Dr, Raleigh, NC 27617-7908 2012-01-12
1770873044 Manjula Nagaraja Internal Medicine 8001 T W Alexander Dr Ste 218, Raleigh, NC 27617-4884 2011-04-07
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Competitor

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City RALEIGH
Zip Code 27612

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Dataset Information

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.

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