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GRADY MEMORIAL HOSPITAL CORPORATION
NPI 1114243813
Family Medicine in Atlanta, GA

Active since April 20, 2010
80 JESSE HILL JR DR SE, BOX 26019, ATLANTA, GA 30303(404) 616-8880(404) 616-9076 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grady Memorial Hospital Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRADY MEMORIAL HOSPITAL CORPORATION (NPI 1114243813), doing business as Grady Health System, is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since April 2010. The organization lists Timothy Jefferson, Exec Vp, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1114243813
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRADY MEMORIAL HOSPITAL CORPORATION
Location Address80 JESSE HILL JR DR SE, BOX 26019Atlanta, GA 30303-3031
Mailing AddressPo Box 935102Atlanta, GA 31193-5102 · (404) 616-5887 · Fax (404) 616-9076
Phone(404) 616-8880
Fax(404) 616-9076
Organization SubpartNo
Authorized OfficialTimothy JeffersonExec Vp, General Counsel · (404) 616-6180
Enumeration DateApril 20, 2010
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1114243813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
80 JESSE HILL JR DR SE, Atlanta, GA 30303
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Other Names 1

Doing Business AsGrady Health System

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grady Memorial Hospital Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

762

Medicare enrollment records show 762 clinicians reassign Medicare billing to Grady Memorial Hospital Corporation, which bills Medicare for the services they deliver. Of these, 106 practice at this address and 324 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner280
Certified Registered Nurse Anesthetist (CRNA)175
Anesthesiology Assistant112
Family Practice60
Mental Health Counselor31
Internal Medicine16
Neurology14
Pediatric Medicine14
18 other specialties60

Nearest to this location (20)

See all 762
Austin Alford
Anesthesiology Assistant
NPI 1912725482
80 JESSE HILL JR DR SE ANESTHESIA OFFICE
Atlanta, GA 30303
(404) 616-1000
✔ Accepts MedicareSame address
Panaporn Aphivantrakul, CAA
Anesthesiology Assistant
NPI 1083224992
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
Same address
Shundreka Barkley, FNP
Nurse Practitioner
NPI 1386341410
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ PECOS✔ Accepts MedicareSame address
Jessica Beaver, CAA
Anesthesiology Assistant
NPI 1326658337
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-5519
✔ Accepts MedicareSame address
Hannah Bender, NP
Nurse Practitioner
NPI 1336826189
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(864) 438-7097
✔ PECOS✔ Accepts MedicareSame address
Valerie Borgstrom
Nurse Practitioner
NPI 1477165918
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ PECOS✔ Accepts MedicareSame address
Phaedra Boykin
Mental Health Counselor
NPI 1457104523
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-4787
✔ PECOSSame address
Kathryn Brune, DNAP, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104663699
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ Accepts MedicareSame address
Kelley Carroll, M.D.
Family Practice
NPI 1477582062
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(713) 500-3500
✔ PECOS✔ Accepts MedicareSame address
Carlie Caton, LCSW
Clinical Social Worker
NPI 1265993984
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 210-9917
✔ PECOSSame address
Geraldine Chinyere
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558212118
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1258
✔ Accepts MedicareSame address
Camille Crump, CNM
Certified Nurse Midwife (CNM)
NPI 1861014755
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ PECOS✔ Accepts MedicareSame address
Augustine Emmanuel, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043555667
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ Accepts MedicareSame address
Aline Pereira, DO
Family Practice
NPI 1720607278
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ PECOSSame address
Christie Person, O.D.
Optometry
NPI 1225220734
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(478) 616-1000
✔ PECOS✔ Accepts MedicareSame address
Lindsey Veal, LPC
Mental Health Counselor
NPI 1477492064
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ PECOS✔ Accepts MedicareSame address
John Ward, LPC
Mental Health Counselor
NPI 1962579102
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 489-2008
✔ PECOSSame address
Sepideh Zohreh, RDN
Registered Dietitian or Nutrition Professional
NPI 1053880500
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ Accepts MedicareSame address
Wilhmenia Bailey, PA-C
Physician Assistant
NPI 1619117231
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(770) 880-1493
✔ PECOSSame address
Beverly Philson, PMHCNS-BC
Certified Clinical Nurse Specialist (CNS)
NPI 1063651982
80 JESSE HILL JR DR , SE
Atlanta, GA 30303
(404) 616-4444
✔ PECOS✔ Accepts MedicareSame address
See all 762 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grady Memorial Hospital Corporation's NPI number?

The NPI number for Grady Memorial Hospital Corporation is 1114243813. It was assigned to this organization in the NPPES registry on April 20, 2010. The provider is doing business as Grady Health System.

Where is Grady Memorial Hospital Corporation located?

Grady Memorial Hospital Corporation is located at 80 Jesse Hill Jr Dr SE Box 26019, Atlanta, GA 30303. The listed phone number is (404) 616-8880.

What is Grady Memorial Hospital Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grady Memorial Hospital Corporation enrolled in Medicare?

Yes. Grady Memorial Hospital Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grady Memorial Hospital Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 762 clinicians in 26 Medicare specialties reassign their Medicare billing to Grady Memorial Hospital Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (280), Certified Registered Nurse Anesthetist (CRNA) (175) and Anesthesiology Assistant (112). Of these, 106 practice at this address and 324 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grady Memorial Hospital Corporation accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Grady Memorial Hospital Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grady Memorial Hospital Corporation was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.