MR. ANDRE GRANT (NPI# 1487210704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487210704 |
Entity Type | Individual |
Full Name | MR. ANDRE GRANT |
Practice Address |
2136 W Park Ct Ste B Stone Mountain GA 30087-3528 |
Practice Telephone | 4049964182 |
Mailing Telephone | 4049964182 |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-06-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146M00000X | Emergency Medical Technician, Intermediate | 40731 | GA | Emergency Medical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881740405 | Andre Grant | Orthopaedic Surgery | 3480 Wake Forest Road, Suite 204, Raleigh, NC 27609 | 2007-01-26 |
1073927521 | Andre Grant | Case Manager/Care Coordinator | 7101 W 12th St Ste 201, Little Rock, AR 72204-2404 | 2014-06-12 |
Street Address |
2136 W PARK CT STE B |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30087-3528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
Find all providers in zip 30087 |
Taxonomy Code | 146M00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Intermediate |
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750800058 | Shawn Anthony Moore | Emergency Medical Technician, Intermediate | 900 N Hairston Rd Ste A3, Stone Mountain, GA 30083-2857 | 2017-09-18 |
1790247070 | Jonathan Pace | Emergency Medical Technician, Intermediate | 4683 Redan Rd, Stone Mountain, GA 30083 | 2019-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850856 | Christopher Lee Bailey | Emergency Medical Technician, Intermediate | 1893 Lathrop St Se, Atlanta, GA 30315-6917 | 2020-08-10 |
1881214872 | Roger Lee Jackson II | Emergency Medical Technician, Intermediate | 713 Clifton Rd Se, Atlanta, GA 30316-2229 | 2020-04-20 |
1760944334 | Arelious Dunn | Emergency Medical Technician, Intermediate | 6722 Highway 85 Ste 5, Riverdale, GA 30274-2373 | 2019-04-03 |
1811488836 | Jeffrey Touchberry | Emergency Medical Technician, Intermediate | 217 Lovebridge Dr Se, Calhoun, GA 30701-4800 | 2018-05-24 |
1689101479 | Pamela Olivia Dugar | Emergency Medical Technician, Intermediate | 3117 Deans Bridge Rd, Augusta, GA 30906-3379 | 2017-05-11 |
1457890824 | James Richard Dow II | Emergency Medical Technician, Intermediate | 1453 Wood Park Way Nw, Kennesaw, GA 30152-4670 | 2017-02-18 |
1023566387 | Kalli Pelar Coleman Addison | Emergency Medical Technician, Intermediate | 131 Cypress Ln, Eatonton, GA 31024-7567 | 2016-09-15 |
1437567385 | Anthony Quinn Hodge | Emergency Medical Technician, Intermediate | 4035 Jonesboro Rd Ste 240, Forest Park, GA 30297-1035 | 2014-07-23 |
1720353642 | Santos Efrain Ortiz | Emergency Medical Technician, Intermediate | 4761 Pauline Rd, Douglasville, GA 30135-4575 | 2012-03-09 |
1760634059 | Dbhg Enterprises LLC | Emergency Medical Technician, Intermediate | 5700 Hillandale Dr Bldg 200, Suite 210, Lithonia, GA 30058-4103 | 2008-10-17 |
Find all providers with the same taxonomy |
City | STONE MOUNTAIN |
Zip Code | 30087 |
Please comment or provide details below to improve the information on MR. ANDRE GRANT.
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.