JERZY GRZEBIELUCH, MD, LLC
NPI 1447809298
Clinic/Center in Fort Walton Beach, FL
About Jerzy Grzebieluch, Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERZY GRZEBIELUCH, MD, LLC (NPI 1447809298) is a healthcare organization registered as a clinic/center in Fort Walton Beach, Florida and active in the NPI registry since September 2019. The organization lists Jerzy Grzebieluch, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerzy Grzebieluch, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerzy Grzebieluch, MD, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jerzy Grzebieluch, MD, LLC's NPI number?
The NPI number for Jerzy Grzebieluch, MD, LLC is 1447809298. It was assigned to this organization in the NPPES registry on September 4, 2019.
Where is Jerzy Grzebieluch, MD, LLC located?
Jerzy Grzebieluch, MD, LLC is located at 4 2nd St SE, Fort Walton Beach, FL 32548. The listed phone number is (850) 864-2008.
What is Jerzy Grzebieluch, MD, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Jerzy Grzebieluch, MD, LLC enrolled in Medicare?
Yes. Jerzy Grzebieluch, MD, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jerzy Grzebieluch, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Jerzy Grzebieluch, MD, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jerzy Grzebieluch, MD, LLC was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Jerzy Grzebieluch, Md, Llc · NPI 1447809298
Clinic/Center organization in Fort Walton Beach, Florida. Organization record, active in the CMS NPPES registry since September 4, 2019.
## Identity
- **NPI:** 1447809298 (Entity type: Organization)
- **Enumerated:** September 4, 2019
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jerzy Grzebieluch, OWNER
## Practice location
- **Address:** 4 2ND ST SE, Fort Walton Beach, FL 32548-5502
- **Phone:** (850) 864-2008 · **Fax:** (850) 864-5008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1447809298) · Data from the CMS NPPES public registry.