Jerald Grissom, PA-C
NPI 1912960659 · Physician Assistant · Winston Salem, NC
Jerald Grissom, PA-C is a Physician Assistant provider in Winston Salem, NC (NPI 1912960659).
Provider details
- NPI number
- 1912960659
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-04281 (NC)
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
20 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
- 2006-04-11
- Last updated
- 2014-02-17
Frequently asked questions
- What is Jerald Grissom's NPI number?
- Jerald Grissom's National Provider Identifier (NPI) is 1912960659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerald Grissom's specialty?
- Jerald Grissom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jerald Grissom located?
- Jerald Grissom's practice location on file with NPPES is Medical Center Blvd, Winston Salem, NC 27157-0001.
- What is Jerald Grissom's phone number?
- The practice phone number listed in the NPPES registry for Jerald Grissom is (336) 716-8898.
- Is Jerald Grissom's NPI active?
- Yes — Jerald Grissom's NPI (1912960659) is active in the NPPES registry as of the last update on 2014-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.