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MR. PAUL MICHAEL LEE GRENELLE P.A.
NPI 1982901856
Physician Assistant - Medical in Daytona Beach, FL

Active since February 11, 2011PECOS Enrolled
303 NO. CLYDE MORRIS BLVD., HALIFAX MEDICAL CENTER, DAYTONA BEACH, FL 32114(386) 425-2285(386) 425-7522 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Paul Michael Lee Grenelle P.a. NPPES

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

MR. PAUL MICHAEL LEE GRENELLE P.A. (NPI 1982901856) is an individual medical provider in Daytona Beach, Florida, licensed in Florida (PA9105871) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982901856
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PAUL MICHAEL LEE GRENELLECredential: P.A.
Location Address303 NO. CLYDE MORRIS BLVD., HALIFAX MEDICAL CENTERDaytona Beach, FL 32114-2709
Mailing AddressPo Box 864074, Halifax Healthcare Systems, Inc.Orlando, FL 32886-4074 · (386) 226-4590 · Fax (386) 226-3371
Phone(386) 425-2285
Fax(386) 425-7522
Sole ProprietorNo
Enumeration DateFebruary 11, 2011
Last NPPES UpdateJanuary 18, 2012
✔ NPI 1982901856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9105871
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9105871 (FL)
303 NO. CLYDE MORRIS BLVD., Daytona Beach, FL 32114
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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)

Mr. Paul Michael Lee Grenelle P.a. 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 3

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

ANTHONY A. AZZARELLO PA
Physician Assistant
303 NO. CLYDE MORRIS BLVD., HALIFAX MEDICAL CENTER - CHEST PAIN CENTER
DAYTONA BEACH, FL 32114
Volusia County (386) 425-1800
BRIAN THOMAS BOGDANOWICZ M.D.
Family Medicine
303 NO. CLYDE MORRIS BLVD., HALIFAX HEALTH MEDICAL CENTER & COMMUNITY CLINIC
DAYTONA BEACH, FL 32114
Volusia County (386) 425-6198
AMBER LEAH BARMER P.A.
Physician Assistant (Medical)
303 NO. CLYDE MORRIS BLVD., HALIFAX MEDICAL CENTER
DAYTONA BEACH, FL 32114
Volusia County (386) 425-2285

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 Paul Grenelle's NPI number?

The NPI number for Paul Grenelle is 1982901856. It was assigned to this individual provider in the NPPES registry on February 11, 2011.

Where is Paul Grenelle located?

Paul Grenelle practices at 303 No. Clyde Morris Blvd. Halifax Medical Center, Daytona Beach, FL 32114. The listed phone number is (386) 425-2285.

What is Paul Grenelle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Paul Grenelle enrolled in Medicare?

Yes. Paul Grenelle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Grenelle was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.