MR. GEROME ALONZO GRIVAS NP
NPI 1497883607
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Q: What is Gerome Grivas's NPI number?

The NPI number for Gerome Grivas is 1497883607. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Gerome Grivas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Gerome Grivas was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment

3175 LENOX PARK BLVD STE 412, MEMPHIS, TN 38115(901) 273-2369 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Gerome Alonzo Grivas Np NPPES

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

MR. GEROME ALONZO GRIVAS NP (NPI 1497883607) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Tennessee (12129) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497883607

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. GEROME ALONZO GRIVASCredential: NP

Location Address3175 LENOX PARK BLVD STE 412Memphis, TN 38115-4256

Mailing Address1118 Continentals WayBelmont, CA 94002-3119 · (650) 270-5393

Phone(901) 273-2369

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 1, 2007

Last NPPES UpdateDecember 30, 2021

✔ NPI 1497883607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in TN · 12129✔ Licensed in CA · 17743

3175 LENOX PARK BLVD STE 412, Memphis, TN 38115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gerome Alonzo Grivas Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082708219

PECOS Enrollment IDI20090310000231

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RECOVERY PHYSICIAN GROUP OF TENNESSEE, LLC

Psychologist (Addiction (Substance Use Disorder))

3175 LENOX PARK BLVD STE 412
MEMPHIS, TN 38115

Shelby County (954) 587-7771

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 Gerome Grivas's NPI number?

The NPI number for Gerome Grivas is 1497883607. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Gerome Grivas located?

Gerome Grivas practices at 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115. The listed phone number is (901) 273-2369.

What is Gerome Grivas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gerome Grivas enrolled in Medicare?

Yes. Gerome Grivas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gerome Grivas was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.