MR. MAHLON DAVID GRIMSLEY


Address: 1824 Hillandale Rd, Durham, NC 27705-2650
Phone: 9199577862

MR. MAHLON DAVID GRIMSLEY (NPI# 1114963691) 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) 1114963691
Entity Type Individual
Full Name MR. MAHLON DAVID GRIMSLEY
Credential PA
Practice Address 1824 Hillandale Rd
Durham
NC 27705-2650
Mailing Address 4415 Angier Ave
Durham
NC 27703-5803
Practice Telephone 9199577862
Mailing Telephone 9199577862
Enumeration Date 2006-06-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCCPA # 1021201 01

Office Location

Street Address 1824 HILLANDALE RD
City DURHAM
State NC
Zip Code 27705-2650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982666046 Carol Dashner Mcmorrow Physician Assistant 1824 Hillandale Rd, Durham, NC 27705-2650 2006-04-04
1477029163 Stephanie Jean Tisdal Nurse Practitioner 1824 Hillandale Rd, Durham, NC 27705-2650 2018-10-19
1013324110 Durham Vamc Clinic/Center 1824 Hillandale Rd, Durham, NC 27705-2650 2014-07-21
1376779793 Donald R Murphy Jr. Family Medicine 1824 Hillandale Rd, Vamc, Durham, NC 27705 2009-06-01
1902007198 Nicole Nilmeier Grant Internal Medicine 1824 Hillandale Rd, Va Medical Center, Durham, NC 27705-2650 2007-05-29
1528168572 Lori Ann Orlando Internal Medicine 1824 Hillandale Rd, Durham, NC 27705-2650 2006-09-22
1528174240 Jenny Rebecca Legge Pharmacist 1824 Hillandale Rd, Durham, NC 27705-2650 2006-08-23
1285683961 Thomas Finley Newcomb Internal Medicine 1824 Hillandale Rd, Durham, NC 27705-2650 2006-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
Find all providers in zip 27705

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083197651 Erika Cummings Physician Assistant 40 Medicine Circle Clinic 1l Duke South Clinic Bldg, Durham, NC 27710-2102 2018-09-10
1396237566 Sarah Elizabeth Beatty Physician Assistant 1317 Southpoint Crossing Dr, Durham, NC 27713 2018-06-04
1225548704 Lindsey Anna Rowe Physician Assistant 2301 Erwin Road Duke North Suite 2600, Room 2607a, Durham, NC 27710-0001 2017-10-10
1801316831 Stefanie Nikoloas Xenakis Physician Assistant 2400 Broad St Ste 1, Durham, NC 27704-2662 2017-06-21
1861842700 Kelly Michelle Young Physician Assistant 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 2016-06-21
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1033589577 Andrew David Mcgraw Physician Assistant Duke University Medical Center Emergency, 2nd Floor 2301 Erwin Road Durham, Nc 27710, Durham, NC 27710-4699 2015-09-27
1093145443 Catherine Casey Mcknight Physician Assistant 3458 Duke University Medical Center, Durham, NC 27710 2013-11-21
1013343490 Carolyn Chyu Tashie Physician Assistant Duke Cancer Center 20 Duke Medicine Circle Clinic 3-2, Durham, NC 27710-4699 2013-09-18
1477817203 Andrew Robert Macknair Physician Assistant 4225 Larchmont Rd, Apt 1021, Durham, NC 27707-5962 2012-06-26
Find all providers in DURHAM

Competitor

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City DURHAM
Zip Code 27705

Improve Information

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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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