MISTY GROVE NPI 1689057879

NPI Information

  • NPI: 1689057879
  • Provider Name: MISTY GROVE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2122 MANCHESTER EXPY
    COLUMBUS, GA
    ZIP 31904
  • Phone: (706) 320-2773

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NPI Details

Misty Grove is a family nurse practitioner in Columbus, GA with 11 years of experience. Misty Grove NPI is 1689057879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2122 MANCHESTER EXPY
COLUMBUS, GA
ZIP 31904-878
Phone: (706) 320-2773
Fax: (706) 596-4226

The NPI 1689057879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Insertion of artery tube for blood sampling or infusion through skin (HCPCS:36620)
  • Emergent insertion of breathing tube into windpipe using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 7/7/2015 and was last updated on 7/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN170056GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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