DEIDREA L. GRANDBERRY MD – NPI #1588715254
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

DEIDREA GRANDBERRY is a physician located in MEMPHIS, TN. NPPES has assigned the NPI number 1588715254 to DEIDREA GRANDBERRY on January 16, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was previously updated about 15 years ago on Nov 10, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEIDREA GRANDBERRY below.

NPI Profile for
DEIDREA L. GRANDBERRY

NPI Number
1588715254
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEIDREA L. GRANDBERRY
Credentials
MD
Primary location
7705 POPLAR AVE
STE 150 BLDG B
MEMPHIS, TN 38138-3930
Phone: (901) 276-3222 Fax: (901) 276-1398
Mailing address
1469 POPLAR AVE
MEMPHIS, TN 38104-2934
Phone: (901) 276-3222 Fax: (901) 276-1398
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)
TN MD38629

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEIDREA GRANDBERRY is affiliated with the following medical group(s):
  • HOSPITAL
    • METHODIST HOSPITALS OF MEMPHIS
      1265 UNION AVE SUITE 700
      MEMPHIS, TN 38104

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