Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grayson Maynard, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962107888

Grayson Maynard, DO is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1962107888
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address8015 Jonathan Dr, Ooltewah, TN 37363-7193

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