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

Misty Grove

Individual provider Family Nurse Practitioner · NPI 1689057879

Misty Grove is a Nurse Practitioner in Columbus, Georgia. Qualified in 2015, 11 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
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Practice location Address checks out

2122 Manchester Expy
Columbus, GA 31904-6878
Phone: (706) 320-2773
Fax: (706) 596-4226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN170056 (GA)

Record details

NPI number1689057879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESJuly 7, 2015
Mailing addressPo Box 8147, Columbus, GA 31908-8147

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Columbus