SAMUEL GRISSOM M.D.
NPI 1205824265
Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine in Pensacola,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 12, 2005

Contact Information

8391 N Davis Hwy
Pensacola,
Post Code: 32514
Phone: (850) 494-6000
Fax: (866) 947-4181

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Samuel Grissom M.d. in Pensacola - Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine

Samuel Grissom M.d. is a Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine in Pensacola, . Samuel Grissom M.d. practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine. The NPI Number for Samuel Grissom M.d. is 1205824265. The last update date is 2018-12-07.

Samuel Grissom M.d.'s current location address is 8391 N Davis Hwy, Pensacola, . You can contact this provider via phone number (850) 494-6000 and fax number (866) 947-4181. The mailing address for Samuel Grissom M.d. is 8391 N Davis Hwy, Pensacola, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1205824265
Provider Name
SAMUEL GRISSOM M.D.
Gender
Male
Entity Type
Individual
Location Address
8391 N Davis Hwy, Pensacola,
Location Phone
(850) 494-6000
Location Fax
(866) 947-4181
Mailing Address
8391 N Davis Hwy, Pensacola, Florida(FL)
Mailing Phone
850-494-6000
Mailing Fax
866-947-4181
Enumeration Date
2005-10-12
Last Update Date
2018-12-07
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
-
License No.
ME61914
License State
Florida (FL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2081P0004X Spinal Cord Injury Medicine Physician

Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine

19219 (Mississippi)
2 208100000X Physical Medicine & Rehabilitation Physician

Physical Medicine & Rehabilitation

19219 (Mississippi)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2554707 MEDICAID (05) Mississippi (MS)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205824265
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051628212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22051628212
2 + 2 + 0 + 5 + 1 + 6 + 2 + 8 + 2 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1205824265 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1194728147 BADER PROSTHETICS & ORTHOTICS, INC
Organization
Prosthetic/Orthotic Supplier 125 CHAPMAN RD E
LUTZ, Florida (FL)
813-962-6100
1194728121 DAVID W BADOLATO
Individual
Family Medicine 6300 N. WICKHAM RD
MELBOURNE, Florida (FL)
321-433-1534
1003819038 LESTER GOLDBERG
Individual
Radiology, Diagnostic Radiology 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1154324176 RICK ALLEN DAMRON
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD STE 200
TALLAHASSEE, Florida (FL)
850-878-8235