Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERALD DEAN GRISSOM III
ActiveMR. JERALD DEAN GRISSOM III is a Student (Health Education/Training) healthcare provider located in LYNCHBURG, Virginia. NPI 1780475277 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · LYNCHBURG, VA
Registration Details
- NPI Number
- 1780475277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2025 (1.072069885731 yrs)
- Last Updated
- Jul 30, 2025
- Licenses
-
P530638 (NC)C202504081 (VA)
Practice Information
- Address
-
306 LIBERTY VIEW LNLYNCHBURG, VA, 245022291Browse VA providers · Browse ZIP 24502
- Phone
- 4345926400
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Emergency Medical Technician, Paramedic
- Additional Specialty
- Emergency Medical Technician, Paramedic
Other Student (Health Education/Training) Providers in LYNCHBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID YIPING LEE | M.D. | 1063858330 |
| DR. VI TRAN | — | 1124433438 |
| ROBIN COPELAND | — | 1215336185 |
| ELIZABETH ROSE ODEN | STUDENT | 1336506526 |
| CHRISTOPHER DANIEL BROWN | — | 1710346150 |
| WILLIAM SAMUEL BEALS | — | 1649718925 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.