DR. LARRY WELLS GRANT (NPI# 1982730750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982730750 |
Entity Type | Individual |
Full Name | DR. LARRY WELLS GRANT |
Credential | M.D. |
Practice Address |
350 Hospital Dr Macon GA 31217-3838 |
Mailing Address |
4635 Brae Burn Ln Macon GA 31210-4710 |
Practice Telephone | 4784641326 |
Practice Fax Number | 4784641323 |
Mailing Telephone | 4784748129 |
Mailing Fax Number | 4784641323 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
016802 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265566400 | Larry L Grant | Counselor | 141 Grisham Rd, Royal, AR 71968-9563 | 2007-03-16 |
1083119127 | Larry Brian Grant | Pharmacist | 59 George St, Charleston, SC 29401-1422 | 2018-03-29 |
1184775223 | Larry Grant | Dentist | 602 Main St, Dalton, GA 30720-8739 | 2007-01-16 |
Street Address |
350 HOSPITAL DR |
City | MACON |
State | GA |
Zip Code | 31217-3838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861471138 | Gary K Walker | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-13 |
1861091340 | Shelby Walker | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-10-26 |
1134751191 | Peach State Anesthesia Partners, LLC | Anesthesiology | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-02-07 |
1558901264 | Crystal Ayer | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-01-10 |
1306328323 | Antoinette Mariano-sabido | Physician Assistant | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-09-06 |
1790293751 | Robert Perry | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-01-11 |
1427571827 | Saleha Asghar | Hospitalist | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-07-18 |
1366977647 | Mitali Mehta | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-25 |
1720512072 | James Weaver Corley Iv | Student in an Organized Health Care Education/Training Program | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-13 |
1487001798 | Terrill Anthony Cooper | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
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Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871523399 | Macon Lung Center PC | Internal Medicine | 560 First Street, Macon, GA 31201 | 2006-07-03 |
1609859859 | Robert Jonathan Dean | Internal Medicine | 840 Pine Street Suite 780, Macon, GA 31201 | 2005-11-22 |
1629694476 | Virtual Icu Company | Internal Medicine | 560 First Street, Macon, GA 31201-2824 | 2020-06-17 |
1821440819 | Southern Lung Specialists PC | Internal Medicine | 770 Pine St, Suite 560, Macon, GA 31201-7569 | 2016-07-01 |
1235271636 | Donald R Robinson | Internal Medicine | 770 Pine St, Suite 200, Macon, GA 31201-2173 | 2007-02-13 |
1932274461 | Surinder P Dalal | Internal Medicine | 770 Pine St, Suite 560, Macon, GA 31201-2173 | 2006-11-21 |
1144310954 | Douglas Paul Farman | Internal Medicine | 707 Pine St, Macon, GA 31201-2106 | 2006-10-13 |
1851313431 | Gerald T. Tarirah | Internal Medicine | 770 Pine Street, Suite 560, Macon, GA 31201 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
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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.