MR. ANDRE GRANT


Address: 2136 W Park Ct Ste B, Stone Mountain, GA 30087-3528
Phone: 4049964182

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146M00000X Emergency Medical Technician, Intermediate 40731 GA Emergency Medical Service Providers

Other Providers ANDRE GRANT

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

Office Location

Street Address 2136 W PARK CT STE B
City STONE MOUNTAIN
State GA
Zip Code 30087-3528

Providers in the same zip code

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 Information

Taxonomy Code 146M00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Intermediate

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City STONE MOUNTAIN
Zip Code 30087

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Dataset Information

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.

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