| Grayson And Associates Pc | |
|
2200 Lakeshore Dr Ste 150 Birmingham AL 35209-8832 | |
| (205) 871-6926 | |
| (205) 871-7981 |
| Full Name | Grayson And Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2200 Lakeshore Dr Ste 150, Birmingham, Alabama |
| Authorized Official Name and Position | Joseph Lucas (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2058716926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grayson And Associates Pc 2200 Lakeshore Drive Suite 150 Birmingham AL 35209 Ph: (205) 871-6926 | Grayson And Associates Pc 2200 Lakeshore Dr Ste 150 Birmingham AL 35209-8832 Ph: (205) 871-6926 |
| NPI Number | 1194772442 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 9032108253 |
|---|---|
| Medicare Enrollment ID | O20040511001342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194772442 | NPI | - | NPPES |
| 529200030 | Medicaid | AL |
| Provider Name | Glenn O Archibald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316947450 PECOS PAC ID: 3779477203 Enrollment ID: I20040213000343 |
| Provider Name | Garry Sandlin Grayson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043260409 PECOS PAC ID: 7810986049 Enrollment ID: I20050118001046 |
| Provider Name | Janet A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366490906 PECOS PAC ID: 3274585500 Enrollment ID: I20050215000905 |
| Provider Name | Karen E Callahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154371508 PECOS PAC ID: 3173565710 Enrollment ID: I20050524001275 |
| Provider Name | Holly N Deemer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154370260 PECOS PAC ID: 0244254035 Enrollment ID: I20060119000541 |
| Provider Name | Matthew D Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548207285 PECOS PAC ID: 6204847395 Enrollment ID: I20060607000046 |
| Provider Name | Michael R Furlong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508808429 PECOS PAC ID: 8628072428 Enrollment ID: I20060911000232 |
| Provider Name | Mary Jo J Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609951540 PECOS PAC ID: 4183624786 Enrollment ID: I20070104000457 |
| Provider Name | Lisa O Hennick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477723567 PECOS PAC ID: 0749368819 Enrollment ID: I20080415000777 |
| Provider Name | Melissa V Clinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417902032 PECOS PAC ID: 3971673310 Enrollment ID: I20080528000483 |
| Provider Name | Christine E Agee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285683243 PECOS PAC ID: 6204908551 Enrollment ID: I20080702000412 |
| Provider Name | Andrea Megan Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225183767 PECOS PAC ID: 1254373178 Enrollment ID: I20080820000451 |
| Provider Name | Natalie C Phillips-taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568601888 PECOS PAC ID: 3779649744 Enrollment ID: I20090227000356 |
| Provider Name | Simon Mcclure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386677813 PECOS PAC ID: 0648356329 Enrollment ID: I20090428000440 |
| Provider Name | Michael W Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952635096 PECOS PAC ID: 7911044284 Enrollment ID: I20091020000393 |
| Provider Name | Christopher Simon Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689865461 PECOS PAC ID: 0840336277 Enrollment ID: I20101011000631 |
| Provider Name | Joseph Patrick Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538118500 PECOS PAC ID: 1254320484 Enrollment ID: I20110114000091 |
| Provider Name | Elton Lynn Hurst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275583635 PECOS PAC ID: 2668651506 Enrollment ID: I20110125000756 |
| Provider Name | Margaret Green Barclay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386693349 PECOS PAC ID: 5294914099 Enrollment ID: I20110126000281 |
| Provider Name | Keith Robert Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336198340 PECOS PAC ID: 6002095627 Enrollment ID: I20110127000716 |
| Provider Name | Phyllis B Mark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447297494 PECOS PAC ID: 1153501952 Enrollment ID: I20110211000146 |
| Provider Name | Julie E Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124077193 PECOS PAC ID: 7214117902 Enrollment ID: I20110214000096 |
| Provider Name | Nancy S Berland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912956343 PECOS PAC ID: 8628259686 Enrollment ID: I20110223000873 |
| Provider Name | David Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578851739 PECOS PAC ID: 0143499822 Enrollment ID: I20110815000538 |
| Provider Name | Armand S Schachter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295784312 PECOS PAC ID: 2961676556 Enrollment ID: I20111116000658 |
| Provider Name | Karen Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871543223 PECOS PAC ID: 0547437907 Enrollment ID: I20120125000794 |
| Provider Name | Jane L Daw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306895420 PECOS PAC ID: 3274798392 Enrollment ID: I20120622000227 |
| Provider Name | Pamela K Kite Trull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891055562 PECOS PAC ID: 2668628637 Enrollment ID: I20120807000308 |
| Provider Name | Janet N Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346552106 PECOS PAC ID: 5597910729 Enrollment ID: I20130219000416 |
| Provider Name | Godehard Oepen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508811597 PECOS PAC ID: 5092951897 Enrollment ID: I20130424000414 |
| Provider Name | Misty D Ary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114250420 PECOS PAC ID: 1355576414 Enrollment ID: I20131025000072 |
| Provider Name | Amanda Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640321 PECOS PAC ID: 4082933908 Enrollment ID: I20150427002169 |
| Provider Name | Giselle Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457736019 PECOS PAC ID: 4385952506 Enrollment ID: I20151007001909 |
| Provider Name | Despina Moise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588968556 PECOS PAC ID: 3375724024 Enrollment ID: I20151230001520 |
| Provider Name | Tiffany Andry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316233067 PECOS PAC ID: 1153616123 Enrollment ID: I20160830001588 |
| Provider Name | Tiffany Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275082430 PECOS PAC ID: 0446538458 Enrollment ID: I20161026001448 |
| Provider Name | Logan T Mendheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042226 PECOS PAC ID: 2163702572 Enrollment ID: I20161130002245 |
| Provider Name | Anthony Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780134593 PECOS PAC ID: 3779863469 Enrollment ID: I20161215001656 |
| Provider Name | Olivia Ann Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598209330 PECOS PAC ID: 3971889627 Enrollment ID: I20170411001765 |
| Provider Name | Ellen Dobbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033617535 PECOS PAC ID: 3072877752 Enrollment ID: I20180504000296 |
| Provider Name | Lacey R Pody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629581517 PECOS PAC ID: 9739434473 Enrollment ID: I20180620001643 |
| Provider Name | Mady Y Fingeret |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427080167 PECOS PAC ID: 8426077280 Enrollment ID: I20180829003533 |
| Provider Name | Mary E Sikora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790270940 PECOS PAC ID: 2062757305 Enrollment ID: I20181214001714 |
| Provider Name | Latisha A Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295217198 PECOS PAC ID: 2062750623 Enrollment ID: I20190206003344 |
| Provider Name | Logan B Thrasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821560384 PECOS PAC ID: 5395073662 Enrollment ID: I20190823002505 |
| Provider Name | Abby Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548722408 PECOS PAC ID: 4688902596 Enrollment ID: I20190829002460 |
| Provider Name | Deangelo Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528526704 PECOS PAC ID: 3577893056 Enrollment ID: I20190925003783 |
| Provider Name | Jessica Chafin Adwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043833726 PECOS PAC ID: 4486076031 Enrollment ID: I20200626002131 |
| Provider Name | Emily Anne Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184183923 PECOS PAC ID: 9335551076 Enrollment ID: I20201222000512 |
| Provider Name | Jolie Rae Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831578749 PECOS PAC ID: 2264824044 Enrollment ID: I20220128001416 |
| Provider Name | Christian Gabrielle Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134870702 PECOS PAC ID: 6800282351 Enrollment ID: I20220408001324 |
| Provider Name | Mary Evelyn Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194497974 PECOS PAC ID: 3971980780 Enrollment ID: I20220517002566 |
| Provider Name | Anthony Bianchi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699201079 PECOS PAC ID: 3678845492 Enrollment ID: I20221009000071 |
| Provider Name | Claudia C. Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700429164 PECOS PAC ID: 2860860624 Enrollment ID: I20221129001028 |
| Provider Name | David Charles Dees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194367656 PECOS PAC ID: 9436520244 Enrollment ID: I20230113000581 |
| Provider Name | Sarah Haden Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609474725 PECOS PAC ID: 7214300581 Enrollment ID: I20230307002348 |
| Provider Name | Bill J Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902856057 PECOS PAC ID: 9537503784 Enrollment ID: I20240215004131 |
| Provider Name | Deborah Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609650308 PECOS PAC ID: 2163867482 Enrollment ID: I20240227001078 |
| Provider Name | Richard Yates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366443038 PECOS PAC ID: 3173968237 Enrollment ID: I20240228001872 |
| Provider Name | Christine Louise Gragg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124332937 PECOS PAC ID: 1557706629 Enrollment ID: I20240228002186 |
| Provider Name | Rachel M Mendonca-hasenbein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114562121 PECOS PAC ID: 4385089952 Enrollment ID: I20240305003196 |
| Provider Name | Delicia Dawn Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891800330 PECOS PAC ID: 8022041052 Enrollment ID: I20240312002090 |
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