Individual provider

Jerald Grissom

Student in an Organized Health Care Education/Training Program Intermediate Emergency Medical Technician

Jerald Grissom is a provider specialising in Student in an Organized Health Care Education/Training Program in Lynchburg, VA, registered under NPI 1780475277. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 306 LIBERTY VIEW LN, Lynchburg, VA 24502. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

306 LIBERTY VIEW LN, Lynchburg, VA 24502 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P530638 NC Intermediate Emergency Medical Technician
C202504081 VA Intermediate Emergency Medical Technician

Licences are recorded in 2 states: NC, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: North Carolina and Virginia. The practice address on file is in Lynchburg, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina
Licence
P530638
Specialty
Intermediate Emergency Medical…
Verify with the NC board →
VA Virginia practice address
Licence
C202504081
Specialty
Intermediate Emergency Medical…
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
390200000X Student in an Organized Health Care Education/Training Program primary
146M00000X Intermediate Emergency Medical Technician P530638 NC
146M00000X Intermediate Emergency Medical Technician C202504081 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1780475277 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 14, 2025
Last updatedJul 30, 2025
StatusActive
Sole proprietorNo
Practice address 306 LIBERTY VIEW LN
Lynchburg, VA 24502
(434) 592-6400
Mailing address 2600 WEEPING WILLOW DR APT B
Lynchburg, VA 24501
This record was updated on Jul 30, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1780475277 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 8 0 4 7 5 2 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 7 0 8 7 1 2 5

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1780475277?
NPI 1780475277 is the National Provider Identifier assigned to Jerald Grissom in Lynchburg, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Jerald Grissom?
The phone number on file with NPPES is (434) 592-6400, last updated Jul 30, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1780475277 a valid number?
Yes. 1780475277 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.