GRANVILLE HEALTH SYSTEM (NPI# 1265430854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265430854 |
| Entity Type | Organization |
| Organization Name | GRANVILLE HEALTH SYSTEM |
| Other Organization Name | SOUTH GRANVILLE PRIMARY CARE |
| Practice Address |
1614 Nc Highway 56 Creedmoor NC 27522-8297 |
| Mailing Address |
Po Box 986 Oxford NC 27565-0986 |
| Practice Telephone | 9195756103 |
| Practice Fax Number | 9195756817 |
| Mailing Telephone | 9195756103 |
| Mailing Fax Number | 9195756817 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-12-27 |
| Authorized Official Name | JOHN SNOW (CEO) |
| Authorized Official Telephone | 9196903405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 02578 | 01 |
| NC | 344645A | 05 | |
| NC | 344645C | 05 |
| Other Name | Type Code |
|---|---|
| South Granville Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518285493 | Granville Health System | Ambulance | 1040 College Street Ext, Oxford, NC 27565-1642 | 2010-05-17 |
| 1265441208 | Granville Health System | Skilled Nursing Facility | 1038 College St, Pob 1006, Oxford, NC 27565-2507 | 2006-08-07 |
| 1053619072 | Granville Health System | Dietitian, Registered | 1010 College St, Oxford, NC 27565-2507 | 2011-03-01 |
| 1336302579 | Granville Health System | Custodial Care Facility | 1038 College St, Oxford, NC 27565-2507 | 2008-07-08 |
| 1093974404 | Granville Health System | Anesthesiology | 1010 College St, Oxford, NC 27565-2507 | 2008-06-02 |
| 1457526907 | Granville Health System | Internal Medicine | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2008-04-25 |
| 1629252986 | Granville Health System | Hospitalist | 1010 College St, Oxford, NC 27565-2507 | 2007-12-21 |
| 1124154216 | Granville Health System | Respite Care | 1010 College St, Oxford, NC 27565-2507 | 2007-02-26 |
| 1275638512 | Granville Health System | Nurse Anesthetist, Certified Registered | 1010 College St, Oxford, NC 27565-2507 | 2006-09-13 |
| 1710089164 | Granville Health System | Psychiatry & Neurology | 102 Professional Park Ste A, Oxford, NC 27565-2554 | 2006-09-05 |
| Street Address |
1614 NC HIGHWAY 56 |
| City | CREEDMOOR |
| State | NC |
| Zip Code | 27522-8297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025237 | Peyton Roberson Satterwhite | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2020-08-28 |
| 1184177297 | Mark Belligan | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2016-07-26 |
| 1417365685 | Kerry Hopson | Social Worker | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2014-07-31 |
| 1346660495 | Amy Jane Nayo | Family Medicine | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2014-04-16 |
| 1245575539 | Tonya Fisher Pruitt | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2012-11-28 |
| 1013275916 | Elizabeth Beatrice Baltaro | Family Medicine | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2012-04-27 |
| 1992938161 | Cornelius F. Cathcart, Pediatrics, Pa | Social Worker | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2009-09-03 |
| 1659544567 | Jennifer Leah Mahoney | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2008-04-11 |
| 1356363089 | Peggy Kiser Harris | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2006-07-24 |
| 1902828346 | Stephen Henry Begley | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606122 | A Will To Live Home Health, LLC | Nursing Care | 109 South Elm Street Unit C, Creedmoor, NC 27522 | 2020-07-12 |
| 1255794152 | Corey Coles | Family Medicine | 2503 E Lyon Station Rd # 2, Creedmoor, NC 27522 | 2016-03-30 |
| 1033473038 | Heather Thompson Currin | Counselor | 102 N Main Street, Creedmoor, NC 27522 | 2012-06-25 |
| 1639439664 | Tonya N Daniel | Lactation Consultant, Non-RN | 2695 Horseshoe Road, Creedmoor, NC 27522 | 2012-05-24 |
| 1992098776 | Syam Bandi | Pharmacist | 1560 High Way 56, Creedmoor, NC 27522 | 2011-05-26 |
| 1568698272 | Jane Carolyn Crowder | Counselor | 2651 Tar River Road, Creedmoor, NC 27522 | 2009-06-09 |
| 1316188550 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 612 N. Main St., Creedmoor, NC 27522 | 2009-03-18 |
| 1447388863 | Scott D. Mims | Counselor | 2150 Highway #56 East, Creedmoor, NC 27522 | 2007-02-28 |
| 1720120603 | Patricia Dillard Jones | Counselor | 2150 Hwy 56 E, Creedmoor, NC 27522 | 2007-02-13 |
| 1851458327 | Triangle Advanced Diagnostic Imaging. | Clinical Medical Laboratory | 122 West Church Street, Creedmoor, NC 27522 | 2007-01-03 |
| Find all providers in zip 27522 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209553 | Murphy Medical Center Inc | Clinic/Center | 125 Medical Park Ln Ste H, Murphy, NC 28906-6921 | 2020-03-11 |
| 1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
| 1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
| 1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
| 1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
| 1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.