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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kenneth L Grotz, MD

Emergency Medicine Physician in Augusta, GA · enumerated 2006 · practices at Csra Emergency Physicians, PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063521631

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Registry record

Entity type Individual (Type 1)
Name Dr. Kenneth L Grotz
Credential MD
Sex Male
Practice address 3651 Wheeler Road, Augusta, GA, 30909
Phone (706) 651-2369
Fax (706) 651-2364
Enumeration date Aug 29, 2006
Last updated in NPPES Oct 4, 2007

Taxonomy & licenses

207PE0004X Emergency Medical Services (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207PP0204X Pediatric Emergency Medicine (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207PS0010X Sports Medicine (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Primary
207PT0002X Medical Toxicology (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207QA0000X Adolescent Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 037820 (GA) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
4370409 Other - AETNA
G38834 Medicaid SC -
1447352778 Other - NPI - CSRA EMERGENCY PHYS
345518 Other - WELLCARE OF GA
00568235E Medicaid GA -
10062882 Other - AMERIGROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1063521631 active?
Yes, as of the latest NPPES snapshot, NPI 1063521631 is active (record last updated 2007-10-04).
How do I verify Kenneth Grotz's NPI record?
Cross-check NPI 1063521631 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-04.