JOHNSIE CAROL GRIGG M.D. NPI 1932102159

NPI Information

NPI: 1932102159
Provider Name: JOHNSIE CAROL GRIGG, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1340 RIDGEWOOD AVE
HOLLY HILL, FL
ZIP 32117
Phone: (386) 676-7130

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NPI Details

Johnsie Carol Grigg, M.D. is a family medicine in Holly Hill, FL. The provider is 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. Johnsie Carol Grigg, M.D. NPI is 1932102159. 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:

1340 RIDGEWOOD AVE
HOLLY HILL, FL
ZIP 32117-320
Phone: (386) 676-7130
Fax: (386) 676-7125

The NPI 1932102159 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 enumeration date for this NPI number is 5/23/2005 and was last updated on 6/21/2012.

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
1	207P00000X	Emergency Medicine		ME47294	FLORIDA	No
2	207Q00000X	Family Medicine		ME47294	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B03795	MEDICARE UPIN	FLORIDA
2	04633Y	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	P00149413	OTHER	FLORIDA	RAILROAD MEDICARE
4	04633	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

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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