J Kirkland Grant, M.D. PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

F4018 Issued in TX

Legal business name

J KIRKLAND GRANT, M.D. PA

Practice address

929 N Galloway Ave Ste 104
Mesquite, TX 75149-2400

Phone

(972) 686-8200

Fax

(972) 686-7711

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

J Kirkland Grant

Title

M.D.

Phone

(972) 686-8200

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J Kirkland Grant, M.D.

  • Obstetrics & Gynecology Physician
  • Mesquite, TX
  • NPI 1659370302
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1013069541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492400",
            "telephone_number": "972-686-8200",
            "fax_number": "972-686-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492400",
            "telephone_number": "972-686-8200",
            "fax_number": "972-686-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KIRKLAND GRANT, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "J KIRKLAND",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "972-686-8200"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114499002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "81W310",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4272341",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084138901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10018543",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jack Jones Hearing Centers, Inc
• Candes Renee Jackson, CNA, CMA

• Obstetrics & Gynecology Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.