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CHARLES GARY GRIGSBY III MD
NPI 1649809740
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since April 02, 2020PECOS Enrolled
900 SOUTH LIMESTONE CTW 304, LEXINGTON, KY 40536(859) 323-6561 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Charles Gary Grigsby Iii Md NPPES

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

CHARLES GARY GRIGSBY III MD (NPI 1649809740) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649809740
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES GARY GRIGSBY IIICredential: MD
Location Address900 SOUTH LIMESTONE CTW 304Lexington, KY 40536-0001
Mailing Address504 Burning Tree CirLexington, KY 40509-1934 · (859) 475-3959
Phone(859) 323-6561
Sole ProprietorYes
Enumeration DateApril 2, 2020
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
✔ NPI 1649809740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 SOUTH LIMESTONE CTW 304, Lexington, KY 40536
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Gary Grigsby Iii Md 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.

Other Providers at the Same Location NPPES 5

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

JAMES HUNTER DUNNIGAN DO
Student in an Organized Health Care Education/Training Program
900 SOUTH LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
DR. CHRISTINA KATARINA PISTILLI MD
Internal Medicine
900 SOUTH LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
DAVID J CARTER
Student in an Organized Health Care Education/Training Program
900 SOUTH LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
WILLIAM HISLOPE MD
Student in an Organized Health Care Education/Training Program
900 SOUTH LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561
ALEXANDER MCRAE
Student in an Organized Health Care Education/Training Program
900 SOUTH LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834

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 Charles Grigsby's NPI number?

The NPI number for Charles Grigsby is 1649809740. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Charles Grigsby located?

Charles Grigsby practices at 900 South Limestone Ctw 304, Lexington, KY 40536. The listed phone number is (859) 323-6561.

What is Charles Grigsby's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Grigsby enrolled in Medicare?

Yes. Charles Grigsby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Grigsby was last updated on May 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.