GRANVILLE HEALTH SYSTEM (NPI# 1053619072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053619072 |
| Entity Type | Organization |
| Organization Name | GRANVILLE HEALTH SYSTEM |
| Other Organization Name | GRANVILLE NUTRITION SERVICES |
| Practice Address |
1010 College St Oxford NC 27565-2507 |
| Mailing Address |
P.o. Box 947 Oxford NC 27565-0947 |
| Practice Telephone | 9196908413 |
| Practice Fax Number | 9196031097 |
| Mailing Telephone | 9196908413 |
| Mailing Fax Number | 9196031097 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | JOHN SNOW (CEO) |
| Authorized Official Telephone | 9196903000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L002146 | NC | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Granville Nutrition Services | Other Name - Individual/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 |
| 1265430854 | Granville Health System | Clinic/Center | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2005-07-08 |
| 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 |
1010 COLLEGE ST |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295714491 | Virginia S Fuller | Anesthesiology | 1010 College St, Anesthesia Dept, Oxford, NC 27565-2507 | 2006-01-16 |
| 1528628542 | Candice Ryan | Nurse Practitioner | 1010 College St, Oxford, NC 27565-2507 | 2019-06-20 |
| 1942761549 | Ann Thompson | Registered Nurse | 1010 College St, Oxford, NC 27565-2507 | 2019-03-27 |
| 1285118802 | Perioperative Specialists of North Carolina | Anesthesiology | 1010 College St, Oxford, NC 27565-2507 | 2018-09-19 |
| 1487156303 | April Keith | Nurse Practitioner | 1010 College St, Oxford, NC 27565-2507 | 2018-03-07 |
| 1467953000 | Monica Jeanne Boyer | Specialist/Technologist | 1010 College St, Oxford, NC 27565-2507 | 2018-02-27 |
| 1245742246 | Daniel Reilly | Physical Therapist | 1010 College St, Oxford, NC 27565-2507 | 2017-10-30 |
| 1649656729 | Rachelle Turner Brogden | Registered Nurse | 1010 College St, Oxford, NC 27565-2507 | 2015-07-30 |
| 1477998664 | William Blake Pemberton | Emergency Medicine | 1010 College St, Oxford, NC 27565-2507 | 2013-05-02 |
| 1972842839 | Wake Emergency Physicians Pa | Emergency Medicine | 1010 College St, Oxford, NC 27565 | 2013-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875893 | Jaden Nichole Tabat | Dietitian, Registered | 400 Shadow Creek Dr Unit 400, Oxford, MS 38655-6227 | 2020-06-11 |
| 1477017580 | Peggy Everts | Dietitian, Registered | 1260 Lacrosse Trl, Oxford, MI 48371-6606 | 2019-01-23 |
| 1063791903 | Rachel Wenzel | Dietitian, Registered | 104 Forest Ridge Dr, Oxford, MS 38655-5859 | 2011-08-09 |
| 1447577929 | Holly Anne Larson | Dietitian, Registered | 5176 Morning Sun Rd, Suite 1, Oxford, OH 45056 | 2010-04-23 |
| 1568793008 | Joy Weisner | Dietitian, Registered | 1010 College Street, Oxford, NC 27565-2507 | 2010-01-22 |
| 1851530752 | Jeannette Smith Clements | Dietitian, Registered | 740 Nottingham Dr, Oxford, MS 38655-4414 | 2009-02-17 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1821501289 | Margaret Gehring Mickelson | Dietitian, Registered | 101 Hunt Dr, Oxford, NC 27565-3497 | 2017-11-08 |
| 1992224380 | Tamara H Little | Dietitian, Registered | 1311 Circle Dr, Oxford, AL 36203-3201 | 2017-09-17 |
| 1275053373 | Kimberly Suddeath | Dietitian, Registered | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2017-06-21 |
| Find all providers in OXFORD | ||||
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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.