MCKENZIE GRISSOM MD
NPI 1942051917
Student in an Organized Health Care Education/Training Program in Scottsville, KY

Q: What is Mckenzie Grissom's NPI number?

The NPI number for Mckenzie Grissom is 1942051917. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Mckenzie Grissom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Grissom was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 28, 2024PECOS Enrolled

1360 STOVALL RD, SCOTTSVILLE, KY 42164(270) 943-9455 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mckenzie Grissom Md NPPES

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

MCKENZIE GRISSOM MD (NPI 1942051917) is an individual student in an organized health care education/training program in Scottsville, Kentucky and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942051917

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMCKENZIE GRISSOMCredential: MD

Location Address1360 STOVALL RDScottsville, KY 42164-8692

Mailing Address1360 Stovall RdScottsville, KY 42164-8692 · (270) 943-9455

Phone(270) 943-9455

Sole ProprietorNo

Enumeration DateMarch 28, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1942051917 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.

1360 STOVALL RD, Scottsville, KY 42164

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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)

Mckenzie Grissom 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.

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 Mckenzie Grissom's NPI number?

The NPI number for Mckenzie Grissom is 1942051917. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Mckenzie Grissom located?

Mckenzie Grissom practices at 1360 Stovall Rd, Scottsville, KY 42164. The listed phone number is (270) 943-9455.

What is Mckenzie Grissom's specialty?

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

Is Mckenzie Grissom enrolled in Medicare?

Yes. Mckenzie Grissom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckenzie Grissom was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.