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

Liam Samuel Groseclose

Individual provider Family Nurse Practitioner · NPI 1609376763

Liam Samuel Groseclose is a Nurse Practitioner in Austell, Georgia. Qualified in 2017, 9 years ago. Practices with Pruitthealth Physicians Services LLC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1700 Mulkey Rd
Austell, GA 30106-1116
Phone: (770) 941-5750
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Ashton Woods Dr Ne, Brookhaven, GA 30319-2201 — (770) 451-0236

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN223393 (GA)

Record details

NPI number1609376763
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2018
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address3576 S Sherwood Rd Se, Smyrna, GA 30082-2832

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pruitthealth Physicians Services Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Austell