Carlos Gregory Grantham (NPI# 1609008069, PAC ID# 7416139076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1609008069 |
| PAC ID by PECOS | 7416139076 |
| Professional Enrollment ID | I20110303000528 |
| Full Name | Carlos Gregory Grantham |
| Address |
114 Jackson Ave Gray GA 31032-5402 |
| Phone Number | 4789869355 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1963 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY PRACTICE, GERIATRIC MEDICINE, PAIN MANAGEMENT, PREVENTATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110164 | COLISEUM MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 114 Jackson Ave, Gray, GA 31032-5402 | 4789869355 |
| Street Address |
114 JACKSON AVE |
| City | GRAY |
| State | GA |
| Zip | 31032-5402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Evans | Nurse Practitioner | Gray Family Health LLC | 260 W Clinton St, Gray, GA 31032-5430 |
| Debra S Kime | Physician Assistant | Gastroenterology Associates of Central Ga LLC | 260 W Clinton St, Suite 3, Gray, GA 31032-5430 |
| Linda S Arnold Walker | Family Medicine | Gray Family Health LLC | 260 W Clinton St, Gray, GA 31032-5430 |
| Mia Hurt Kilby | Nurse Practitioner | Langford Allergy LLC | 260 W Clinton St, Suite 3, Gray, GA 31032-5430 |
| Ashley P Parent Lew | Nurse Practitioner | Gray Family Health LLC | 260 W Clinton St, Gray, GA 31032-5430 |
| Shahriar Sedghi | Gastroenterology | Gastroenterology Associates of Central Ga LLC | 260 W Clinton St, Suite 3, Gray, GA 31032-5430 |
| Cheryl J Ard | Nurse Practitioner | Gray Family Health LLC | 260 W Clinton St, Gray, GA 31032-5430 |
| Jennifer L Hames | Physician Assistant | Langford Allergy LLC | 260 W Clinton St, Suite 3, Gray, GA 31032-5430 |
| Debra B Paschal | Nurse Practitioner | Gray Family Health LLC | 260 W Clinton St, Gray, GA 31032-5430 |
| Kimberly Griffin | Nurse Practitioner | Your Doctor's After Hours, LLC | 260 W Clinton St, Gray, GA 31032-5430 |
| Find all physicians in zip 31032 | |||
| City | GRAY |
| Zip Code | 31032 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | GRAY + GENERAL PRACTICE |
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| 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.