GRANT FAMILY MEDICINE, LLC (NPI# 1316948649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316948649 |
| Entity Type | Organization |
| Organization Name | GRANT FAMILY MEDICINE, LLC |
| Practice Address |
4500 Main St Grant AL 35747-8303 |
| Practice Telephone | 2567288600 |
| Practice Fax Number | 2567288602 |
| Mailing Telephone | 2567288600 |
| Mailing Fax Number | 2567288602 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HILDA BERNICE CRAZE (OWNER) |
| Authorized Official Telephone | 2567288600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 12795 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AETNA | 404999 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51000192 | 01 |
| Street Address |
4500 MAIN ST |
| City | GRANT |
| State | AL |
| Zip Code | 35747-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103808 | Erin Beasley | Nurse Practitioner | 4500 Main St, Grant, AL 35747-8303 | 2020-01-15 |
| 1447723184 | Stephanie Michele Rice | Registered Nurse | 4500 Main St, Grant, AL 35747-8303 | 2019-01-04 |
| 1104149442 | Marshall Medical Center North | Family Medicine | 4500 Main St, Grant, AL 35747-8303 | 2010-03-01 |
| 1295883031 | Amanda Lara Storey | Family Medicine | 4500 Main St, Grant, AL 35747-8303 | 2007-01-08 |
| 1467514331 | Diana Cherise Rembert | Nurse Practitioner | 4500 Main St, Grant, AL 35747-8303 | 2006-12-15 |
| 1427092253 | John C Brewer | Family Medicine | 4500 Main St, Grant, AL 35747-8303 | 2006-06-15 |
| 1396788170 | Hilda Bernice Craze | Family Medicine | 4500 Main St, Grant, AL 35747-8303 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407261837 | Grant Dental Care PC | Dentist | 114 Emmett Ayers Road, Grant, AL 35747 | 2014-06-24 |
| 1861799918 | Benjamin Glenn Barnes | Nurse Practitioner | 249 5th St. East, Grant, AL 35747 | 2011-02-24 |
| 1669504585 | Grant Clinic | Family Medicine | 91 2nd Ave, Grant, AL 35747 | 2007-03-09 |
| 1467550566 | Julian F Sparks | Dentist | 114 Emmett Ayers Rd, Grant, AL 35747-0069 | 2006-09-20 |
| 1831681410 | Legacy Physical Therapy, Inc | Clinic/Center | 3825 Sullivan Street, Suite 2, Madison, AL 35747-3147 | 2018-05-31 |
| 1760530497 | Vivian Nell Hannon | Clinic/Center | 5447 Main Street, Grant, AL 35747-6211 | 2007-01-08 |
| 1760416127 | Michael T Ellis | Chiropractor | 4664 Main St., Grant, AL 35747-8308 | 2006-07-10 |
| 1720161425 | Lorraine Deangelis Summerlin | Optometrist | 5447 Main St, Grant, AL 35747-8322 | 2006-10-24 |
| 1306803861 | Barfield Enterprises, Inc. | Pharmacy | 5421 Main St, Grant, AL 35747-8322 | 2006-04-28 |
| 1740458553 | Grant Family Eye Care, P.C. | Optometrist | 5447 Main St, Grant, AL 35747-8322 | 2008-02-14 |
| Find all providers in zip 35747 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396137832 | Mathews Family Chiropractic PC | Clinic/Center | 115 W 3rd St, Grant, NE 69140-3107 | 2015-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670080 | Altadena Eye Care | Clinic/Center | 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 | 2020-08-17 |
| 1447877584 | Northern Lights Chiropractic L.L.C. | Clinic/Center | 2709 19th Pl S, Homewood, AL 35209-1919 | 2020-07-05 |
| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
| 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.