ROBERT CLYDE GRANT MD PC (NPI# 1881916427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881916427 |
| Entity Type | Organization |
| Organization Name | ROBERT CLYDE GRANT MD PC |
| Practice Address |
174 Prior St Se Gainesville GA 30501-3447 |
| Practice Telephone | 7705361381 |
| Practice Fax Number | 7705328721 |
| Mailing Telephone | 7705361381 |
| Mailing Fax Number | 7705328721 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |
| Authorized Official Name | DR. ROBERT CLYDE GRANT (OWNER) |
| Authorized Official Telephone | 7705361381 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 8102 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000070815A | 05 |
| Street Address |
174 PRIOR ST SE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1295295178 | North Florida Regional Psychiatry, LLC | Clinic/Center | 1121 Nw 64th Ter Ste B, Gainesville, FL 32605-4256 | 2019-03-25 |
| 1902317159 | Gainesville Hospital District | Clinic/Center | 1900 Hospital Blvd Ste A, Gainesville, TX 76240-2002 | 2017-10-16 |
| 1932358207 | Dragon Rises School of Oriental Medicine | Clinic/Center | 1000 Ne 16th Ave, Bldg. F, Gainesville, FL 32601-4557 | 2008-09-11 |
| 1972767333 | Malcolm Randall Vamc | Clinic/Center | 5415 Sw 64th Street, Gainesville, FL 32608-2116 | 2008-07-15 |
| 1417498031 | Primary Care Physicians of Gainesville | Clinic/Center | 3780 Nw 83rd St, Gainesville, FL 32606-5603 | 2017-03-15 |
| 1093264384 | First Resort Health Group Inc | Clinic/Center | 408 W University Ave, Suite 200, Gainesville, FL 32601-3248 | 2016-09-27 |
| 1801349915 | Bristow Run Family Medicine | Clinic/Center | 14540 John Marshall Hwy, #104, Gainesville, VA 20155-1691 | 2016-07-26 |
| 1790135994 | First Resort Health Group Inc D/b/a Alcide Chiropractic | Clinic/Center | 2727 Nw 43rd St, Suite 8, Gainesville, FL 32606-6632 | 2016-06-18 |
| 1043618259 | Annual Wellness Centers of America | Clinic/Center | 3030 Mcever Rd, Suite 300, Gainesville, GA 30504-5579 | 2014-12-22 |
| 1316359383 | North Florida Regional Psychiatry, LLC | Clinic/Center | 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605 | 2014-05-27 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on ROBERT CLYDE GRANT MD PC.
| 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.