Wesley Dee Granger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11037 Issued in MS

Practice address

11 Professional Pkwy
Ridgeland, MS 39157-4113

Phone

(601) 856-2460

Fax

(601) 856-4687

NPI assigned

Jul 24, 2006

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: wesley.granger@mrmc.directbygreenway.com

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.

• Wesley Dee Granger, M.D., P.a.

  • Preferred Provider Organization
  • Ridgeland, MS
  • NPI 1285894378
  Authorized official Same address or phone

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1023030426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574113",
            "telephone_number": "601-856-2460",
            "fax_number": "601-856-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574113",
            "telephone_number": "601-856-2460",
            "fax_number": "601-856-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "WESLEY",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "11037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "800050346",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI HEALTH PARTNE",
            "identifier": "800050346",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017026",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "800050346",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "800050346",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Medical Supply, LLC
• Grace Mobile Care
• Chiquita Grady, SLP
• Will H Graham, PHARMD
• James Granger Jr.
• Latasha Grant
• Katie Allison Graves, DPT
• Cozy Gray, LPC, M.ED, NCC
• Will Gray III, DPT
• Amber Green, SLP

• Internal Medicine Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.