Individual provider Active NPI

Amelia Grace Andrews Granger, PA-C

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1063009041
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10489 Issued in GA
Practice address
240 Sheraton Blvd
Macon, GA 31210-1358
Phone
(478) 633-8700
Fax
(478) 633-8710
NPI assigned
Dec 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 10489 GA Primary

Addresses

Primary practice location

240 Sheraton Blvd
Macon, GA 31210-1358

Mailing address

240 Sheraton Blvd
Macon, GA 31210-1358
Phone (478) 633-8700

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
I20210830001022 GA Practitioner - Physician Assistant 0042615007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

240 Sheraton Blvd
Macon, GA 31210-1358
Phone (478) 633-8700

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • Bleckley Memorial Hospital Hospital, Cochran, GA, CCN 111302

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc CurrentSince Jul 5, 2021 Accepting new patients
Community Health Care Systems, Inc CurrentSince Jul 5, 2021 Accepting new patients

Locations

616 Ferncrest Dr
Sandersville, GA 31082
Phone (478) 552-1620

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Interoperability endpoints

  • Direct secure messaging: aandrews2811927@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1063009041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101358",
            "telephone_number": "478-633-8700",
            "fax_number": "478-633-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101358",
            "telephone_number": "478-633-8700",
            "fax_number": "478-633-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "AMELIA",
        "middle_name": "GRACE ANDREWS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.