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

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