Individual provider Active NPI

Catherine Corish Grant, PA-C

  • Physician Assistant
  • Richmond Hill, GA
National Provider Identifier
1023017795
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004290 Issued in GA
Practice address
60 Exchange Street
Suite B-7
Richmond Hill, GA 31324
Phone
(912) 756-2273
NPI assigned
Jul 15, 2005
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004290 GA Primary

Addresses

Primary practice location

60 Exchange Street
Suite B-7
Richmond Hill, GA 31324

Mailing address

114 Great Oaks Way
Richmond Hill, GA 31324-5461
Phone (912) 596-8868

Other identifiers 2

IdentifierTypeStateIssuer
0288PAMedicaidSC
328595480BMedicaidGA

Other names 1

  • Ms. Catherine Anglin Corish Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000841 GA Practitioner - Physician Assistant 0345217840 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Urgent Care Center of Richmond Hill, LLC CurrentSince Oct 10, 2009 Accepting new patients
The Urgent Care Center of Richmond Hill, LLC CurrentSince Oct 10, 2009 Accepting new patients
Memorial Health Urgentone, Inc. Physician Assistant Past Accepting new patients

Locations

632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545

2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001

318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515

818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273

Interoperability endpoints

  • Direct secure messaging: catherine.grant.1@31652.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1023017795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GREAT OAKS WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245461",
            "telephone_number": "912-596-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EXCHANGE STREET",
            "address_2": "SUITE B-7",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "31324",
            "telephone_number": "912-756-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CATHERINE",
        "middle_name": "CORISH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328595480B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "CORISH",
            "middle_name": "ANGLIN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.