BRIAN C. GRINER, MD, LLC (NPI# 1083832901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083832901 |
| Entity Type | Organization |
| Organization Name | BRIAN C. GRINER, MD, LLC |
| Practice Address |
3301 N Oak Street Ext Valdosta GA 31605-1014 |
| Mailing Address |
3301 N Oak St Ext Valdosta GA 31605 |
| Practice Telephone | 2292426061 |
| Practice Fax Number | 2292426151 |
| Mailing Telephone | 2292426061 |
| Mailing Fax Number | 2292426151 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | MR. BRIAN C. GRINER M.D. (PRESIDENT) |
| Authorized Official Telephone | 2292426061 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 046966 | GA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 046966 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3301 N OAK STREET EXT |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366470650 | Brian C Griner | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2006-06-28 |
| 1629538822 | Trevor Lawton Davis | Physician Assistant | 3301 N Oak Street Ext, Valdosta, GA 31605 | 2019-03-22 |
| 1619436318 | Ashley Jordan Massey | Nurse Practitioner | 3301 N Oak Street Ext, Valdosta, GA 31605 | 2019-03-13 |
| 1316460736 | Joseph Daniel Souders | Physician Assistant | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2017-07-18 |
| 1952763302 | Seth A Courson | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605 | 2016-03-24 |
| 1255729513 | Olivia Hope Wright | Nurse Practitioner | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2015-01-08 |
| 1316370851 | Matthew Nijem Varn | Internal Medicine | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2013-08-20 |
| 1528116019 | John William Ledwitch IIi | Nurse Practitioner | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2007-01-08 |
| 1568490928 | Katie Miner | Nurse Practitioner | 3301 N Oak Street Ext, Valdosta, GA 31605-1014 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508945114 | Sandra L Feldman | Pediatrics | 312 N Patterson St, Valdosta, GA 31601-5526 | 2006-11-03 |
| 1770690703 | Jennifer M Collier-madon | Pediatrics | 101 W Northside Dr Bldg G, Valdosta, GA 31602-1754 | 2006-08-24 |
| 1609882091 | Janice Holly Loeffler | Pediatrics | 3014 N Patterson St, Valdosta, GA 31602-1711 | 2006-07-31 |
| 1538139712 | Charlene Carla Blache | Pediatrics | 406 M Northside Drive, Valdosta, GA 31602-1853 | 2006-01-23 |
| 1487632246 | Robert J Criscuola | Pediatrics | 3331 N Valdosta Rd, Valdosta, GA 31602 | 2006-01-03 |
| 1962035360 | Southwell Ambulatory Inc | Pediatrics | 3014 N Patterson St, Valdosta, GA 31602-1711 | 2020-02-14 |
| 1063839983 | Irene Murema | Pediatrics | 105 W Cranford Ave, Valdosta, GA 31602-2930 | 2014-03-28 |
| 1639512601 | Courtney Michele James | Pediatrics | 2707 N Forrest St, Valdosta, GA 31602-2057 | 2013-04-09 |
| 1376805267 | Kereese S Gayle-farias | Pediatrics | 406 M Northside Drive, Valdosta, GA 31602 | 2012-06-15 |
| 1982858767 | Southern Pediatric Clinic, LLC | Pediatrics | 406 M Northside Drive, Valdosta, GA 31602 | 2008-11-06 |
| Find all providers in VALDOSTA | ||||
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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.