Grant Family Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GRANT FAMILY MEDICAL LLC

Doing business as

Grant Family Medical LLC

Practice address

805 Varsity Dr
Tupelo, MS 38801-4615

Phone

(484) 252-6707

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Dana L Grant, NP-CNPI 1750740965

Title

Owner/Nurse Practitioner

Phone

(484) 252-6707

Specialties & licenses 1

Addresses

Other names 1

• Grant Family Medical LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Grant, NP-C

  • Nurse Practitioner
  • Tupelo, MS
  • NPI 1750740965
  NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1033975420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MAYNARD DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014324",
            "telephone_number": "484-252-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014615",
            "telephone_number": "484-252-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT FAMILY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "484-252-6707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Family Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gracie PLLC (Eye Care Associates)
• Justin C. Graff, M.D.
• Taylor Craven Graham, OTA
• Tracy Graham, O.T.
• Victoria Ester Graham, DMD
• Dana Grant, NP-C
• Abby Gravatt, M.S., CCC-SLP
• Amber Graves
• Joanna Graves
• Cody Gray

• General Practice Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.