Daxton Grigsby, PA
NPI 1407584717 · Physician Assistant · Tahlequah, OK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daxton Grigsby, PA is a Physician Assistant provider in Tahlequah, OK (NPI 1407584717).
Provider details
- NPI number
- 1407584717
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 5469 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-13
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Daxton Grigsby's NPI number?
- Daxton Grigsby's National Provider Identifier (NPI) is 1407584717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daxton Grigsby's specialty?
- Daxton Grigsby is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Daxton Grigsby located?
- Daxton Grigsby's practice location on file with NPPES is 19600 E Ross St, Tahlequah, OK 74464-0545.
- What is Daxton Grigsby's phone number?
- The practice phone number listed in the NPPES registry for Daxton Grigsby is (539) 234-1000.
- Does Daxton Grigsby accept Medicare?
- Daxton Grigsby is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daxton Grigsby's NPI active?
- Yes — Daxton Grigsby's NPI (1407584717) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.