Jordan R Grant (NPI# 1013203645, PAC ID# 1951693415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1013203645 |
| PAC ID by PECOS | 1951693415 |
| Professional Enrollment ID | I20170822003353 |
| Full Name | Jordan R Grant |
| Organization Legal Name | PRMC HEALTHCARE GROUP, INC. |
| Address |
2915 N Main St Wicliff Urology Paris TX 74560-9360 |
| Phone Number | 9037844044 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6406919901 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450196 | PARIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 | 9037844044 | PRMC HEALTHCARE GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | PRMC HEALTHCARE GROUP, INC. |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candice G Daughtrey | Nurse Practitioner | Prmc Healthcare Group, Inc. | 1055 Clarksville St, Suite 140, Paris, TX 75460-6085 |
| Paula Mckinney | Nurse Practitioner | Prmc Healthcare Group, Inc. | 514 B E Wilson St, Valliant, OK 74764-9115 |
| Shazli P Naseer | Family Practice | Prmc Healthcare Group, Inc. | 2870 Lewis Ln, Paris, TX 75460-9380 |
| Mary E Jackson | Nurse Practitioner | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
| Brandilyn K Chadwick | Nurse Practitioner | Prmc Healthcare Group, Inc. | 1055 Clarksville St, Suite 170, Paris, TX 75460-0213 |
| Ebele Chira | Endocrinology | Prmc Healthcare Group, Inc. | 2850 Lewis Ln, Paris, TX 75460-9378 |
| Sheila J Adams | Nurse Practitioner | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
| Leah Rochelle Chiles | Urology | Prmc Healthcare Group, Inc. | 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 |
| William Dickey | Gastroenterology | Prmc Healthcare Group, Inc. | 2850 Lewis Ln, Paris, TX 75460-9378 |
| John D Durham | Family Medicine | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
| Street Address |
2915 N MAIN ST WICLIFF UROLOGY |
| City | PARIS |
| State | TX |
| Zip | 74560-9360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Rochelle Chiles | Urology | Prmc Healthcare Group, Inc. | 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 |
| Elizabeth Bray | Nurse Practitioner | Prmc Healthcare Group, Inc. | 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 |
| City | PARIS |
| Zip Code | 74560 |
| Specialty | UROLOGY |
| City + Specialty | PARIS + UROLOGY |
Please comment or provide details below to improve the information on Jordan R Grant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.