| Amanda Wiggins Grigg, CRNP | |
|
28490 2nd St Ste B, Daphne, AL 36526-7150 | |
| (251) 308-9800 | |
| (877) 413-5104 |
| Full Name | Amanda Wiggins Grigg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 28490 2nd St Ste B, Daphne, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235785999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-109551 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-109551 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Hospital | Mobile, AL | Hospital |
| Springhill Medical Center | Mobile, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imc-cardio-thoracic And Vascular Surgical Associates Llc | 4981936796 | 22 |
| Entity Name | Imc-cardio-thoracic And Vascular Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841848553 PECOS PAC ID: 4981936796 Enrollment ID: O20191029000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Wiggins Grigg, CRNP 4935 Dogwood Trl, Eight Mile, AL 36613-8514 Ph: () - | Amanda Wiggins Grigg, CRNP 28490 2nd St Ste B, Daphne, AL 36526-7150 Ph: (251) 308-9800 |
Caitlin Brown, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Ridgewood Dr, Daphne, AL 36526 Phone: 850-602-0953 | |
Brittany Charlene Wickware, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28490 2nd St Ste B, Daphne, AL 36526 Phone: 251-308-9800 Fax: 877-413-5104 | |
Jada Turner Mims, AGACNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25825 Keldon Ct, Daphne, AL 36526 Phone: 251-463-1184 | |
Elizabeth Hill Luscher, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1505 Daphne Ave, Daphne, AL 36526 Phone: 251-625-2663 Fax: 251-625-3198 | |
Prof. Julie Borom Wiggins, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26420 Kensington Pl Ste A, Daphne, AL 36526 Phone: 251-402-5591 | |
Mr. Daniel Phillip Gardner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8725 County Road 64, Daphne, AL 36526 Phone: 251-625-1370 Fax: 251-625-1380 |