DR. MARK STEVEN GRIMSLEY


Address: 1611 Satellite Blvd Ste 3, Duluth, GA 30097
Phone: 7706146266

DR. MARK STEVEN GRIMSLEY (NPI# 1861729816) 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) 1861729816
Entity Type Individual
Full Name DR. MARK STEVEN GRIMSLEY
Credential MD
Practice Address 1611 Satellite Blvd Ste 3
Duluth
GA 30097
Mailing Address 1611 Satellite Blvd Ste 3
Duluth
GA 30097-4913
Practice Telephone 7706146266
Mailing Telephone 7706146266
Enumeration Date 2009-11-12
Last Update Date 2019-01-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 41572 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3091 Battlefield Pkwy, Fort Oglethorpe, GA 307424003 4234149400

Office Location

Street Address 1611 SATELLITE BLVD STE 3
City DULUTH
State GA
Zip Code 30097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134783368 Mesiah O'mar Porter Jr. Nurse Practitioner 1611 Satellite Blvd Ste 3, Duluth, GA 30097-4913 2019-04-23
1730657271 Vitality Ageless Center LLC Clinic/Center 1611 Satellite Blvd Ste 3, Duluth, GA 30097-4913 2018-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659986057 Herman Medical Solutions, LLC Internal Medicine 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 2020-09-11
1649808619 Kirsty Amber Ramirez Behavior Technician 218 Premiere Pkwy #500, Duluth, GA 30097 2020-03-27
1386277820 Cristina Madalina Niculas Pharmacist Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 2020-02-12
1619514924 Opesdei Health Solutions Home Health Aide 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 2019-12-05
1700422979 Ria Alexander Nurse Practitioner 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 2019-11-22
1043867765 Mosesal Zakia White Nurse Practitioner 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 2019-08-19
1982187068 Lighthouse Clinical Counseling, LLC Counselor 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 2018-09-13
1376025643 Faithe Beanne Kimsey Counselor 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 2018-09-04
1306330303 Denise Jackson Prosthetist 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 2018-06-21
1407363328 Berkeley Van Dyke Physical Therapist 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 2017-12-30
Find all providers in zip 30097

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811553084 Clement Ayanbadejo LLC Family Medicine 2282 Meadow Church Rd Ste 200, Duluth, GA 30097-5318 2019-05-14
1902391923 Young-tae Kim Family Medicine 3610 Peachtree Industrial Blvd Ste 100, Duluth, GA 30096-5139 2018-06-22
1659655538 Primary Care of Atlanta Family Medicine 4124 Chattahoochee Trce, Ste 103, Duluth, GA 30097-2147 2011-10-10
1639462997 James F Conniff Family Medicine Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 2011-05-19
1497087126 St. Luke's Hospital of Duluth Family Medicine 6351 E. Superior St., Duluth, MN 55804-2545 2010-02-05
1154552990 Clement O Ayanbadejo Family Medicine 2282 Meadow Church Rd, Ste 200, Duluth, GA 30097-5318 2009-07-28
1891950457 Liem Chi Ngo Family Medicine 4470 Satellite Blvd, Suite 204, Duluth, GA 30096-8851 2008-07-23
1962663302 Martin Charles Hinz Family Medicine 1150 88th Ave W, Duluth, MN 55808-1505 2008-06-18
1447422506 Onelio Emilio Perdomo Family Medicine 3750 Venture Drive, Suite 130, Duluth, GA 30096-1808 2008-03-28
1225233729 William Elton Burnett Family Medicine 2150 Boggs Rd, Suite 250, Duluth, GA 30096-5890 2007-06-15
Find all providers in DULUTH

Competitor

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City DULUTH
Zip Code 30097

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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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