LIAM SAMUEL GROSECLOSE
NPI 1609376763
Nurse Practitioner - Family in Austell, GA
About Liam Samuel Groseclose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIAM SAMUEL GROSECLOSE (NPI 1609376763) is an individual family provider in Austell, Georgia, licensed in Georgia (RN223393) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brookhaven, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Liam Samuel Groseclose 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.
Medicare Billing Reassignments
2Medicare enrollment records show Liam Groseclose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Norcross, GA 30093
- Reassigned Medicare billing, Georgia enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Liam Groseclose's NPI number?
The NPI number for Liam Groseclose is 1609376763. It was assigned to this individual provider in the NPPES registry on February 15, 2018.
Where is Liam Groseclose located?
Liam Groseclose practices at 1700 Mulkey Rd, Austell, GA 30106. The listed phone number is (770) 941-5750.
What is Liam Groseclose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Liam Groseclose enrolled in Medicare?
Yes. Liam Groseclose 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.
Which organizations bill Medicare for Liam Groseclose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Liam Groseclose reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Austell, GA) and Pruitthealth Physicians Services, LLC (Norcross, GA). Each 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 Liam Groseclose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Liam Groseclose accept?
Health plans from Alliant Health Plans, Inc. list Liam Groseclose 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 Liam Groseclose was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Liam Samuel Groseclose · NPI 1609376763
Family physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since February 15, 2018.
## Identity
- **NPI:** 1609376763 (Entity type: Individual)
- **Enumerated:** February 15, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN223393 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 MULKEY RD, Austell, GA 30106-1116
- **Phone:** (770) 941-5750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1457766339, Austell, GA); Pruitthealth Physicians Services, LLC (NPI 1043676299, Norcross, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1609376763) · Data from the CMS NPPES public registry.