MRS. MARLIE DRIVER GROGAN NP
NPI 1508561622
Nurse Practitioner - Family in Byron, GA

Q: What is Marlie Grogan's NPI number?

The NPI number for Marlie Grogan is 1508561622. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Marlie Grogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marlie Grogan was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 31, 2023PECOS Enrolled

6005 WATSON BLVD STE 100, BYRON, GA 31008(478) 956-5002(478) 956-5003 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, Sep 20, 2024, Apr 6, 2023 and 1 more (4 updates tracked since 2023).

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About Mrs. Marlie Driver Grogan Np NPPES

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

MRS. MARLIE DRIVER GROGAN NP (NPI 1508561622) is an individual family provider in Byron, Georgia, licensed in Georgia (APRN-NP292113) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508561622

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARLIE DRIVER GROGANCredential: NP

Location Address6005 WATSON BLVD STE 100Byron, GA 31008-6749

Mailing Address6005 Watson Blvd Ste 100Byron, GA 31008-6749 · (478) 956-5002 · Fax (478) 956-5003

Phone(478) 956-5002

Fax(478) 956-5003

Sole ProprietorNo

Enumeration DateMarch 31, 2023

Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1508561622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP292113

Also ListedRegistered NurseTaxonomy 163W00000X · License RN292113 (GA)

6005 WATSON BLVD STE 100, Byron, GA 31008

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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 (PECOS)

Mrs. Marlie Driver Grogan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 31008 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 10

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

MRS. DANIELA TORRES FNP-C

Nurse Practitioner (Family)