MR. MICHAEL TERRELL GRISSOM (NPI# 1649649138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649649138 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL TERRELL GRISSOM |
| Credential | CRNP |
| Practice Address |
8375 Highway 72 W Madison AL 35758-9573 |
| Mailing Address |
303 Kimberly Ave Muscle Shoals AL 35661-3768 |
| Practice Telephone | 2562652012 |
| Mailing Telephone | 2563943612 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-131578 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-131578 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-131578 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8375 HIGHWAY 72 W |
| City | MADISON |
| State | AL |
| Zip Code | 35758-9573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588619795 | Herbert C Frith II | Emergency Medicine | 8375 Highway 72 W, Madison, AL 35758-9573 | 2006-05-24 |
| 1770047094 | Brittany Morgan Whatley | Nurse Anesthetist, Certified Registered | 8375 Highway 72 W, Madison, AL 35758-9573 | 2019-01-31 |
| 1073085072 | Ricky Jeremy Carwile | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2019-01-02 |
| 1831692664 | Alicia Ray Bashkiharatee Boyd | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2018-03-18 |
| 1922509116 | Lauren Sharif | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2018-02-23 |
| 1861990939 | Meredith Moss Gallaway | Nurse Practitioner | 8375 Highway 72 W, Emergency Department, Madison, AL 35758 | 2018-01-24 |
| 1093223430 | Haley Lane Nelson | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2018-01-19 |
| 1477071629 | Christina Albright Sherer | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2017-09-07 |
| 1437677127 | Kristen Dollar Martin | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2017-09-01 |
| 1144766163 | James Daniel Griffin | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2017-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
| 1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1528449816 | Jenny Southwood | Nurse Practitioner | 8371 Highway 72 W Ste 104, Madison, AL 35758-9505 | 2015-06-12 |
| 1245508860 | Delicia Vanterpool | Nurse Practitioner | 8045 Highway 72 W Ste 100, Madison, AL 35758-9564 | 2011-12-09 |
| 1780970004 | Jill Katherine Steagall | Nurse Practitioner | 5395 E Cheryl Parkway, Madison, WI 53711 | 2011-06-24 |
| 1184861320 | Mississippi Nurse Practitioners Inc | Nurse Practitioner | 441 Kingsbridge Rd, Madison, MS 39110-7644 | 2009-01-09 |
| 1063543114 | Nancy Mccann Ranum | Nurse Practitioner | 333 E Campus Mall # 7307, # 7307, Madison, WI 53715-1381 | 2007-03-08 |
| 1265487748 | Kyle Diane Weisholtz | Nurse Practitioner | 36 Madison Avenue, Madison, NJ 07940 | 2006-05-23 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| Find all providers in MADISON | ||||
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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.