Active NPI
James R Granger III, MD
- General Practice Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 55824
- Practice address
- 1521 Johnson Ferry Rd Ste 135
Marietta, GA 30062-6408 - Phone
- (678) 247-2115
- Fax
- (404) 393-8059
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 55824 | GA | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 55824 | GA | |
| Pain Medicine Physician | 208VP0000X | 55824 | GA |
Addresses
Primary practice location
1521 Johnson Ferry Rd Ste 135
Marietta, GA 30062-6408
Mailing address
1521 Johnson Ferry Rd Ste 135
Marietta, GA 30062-6408
Phone (678) 247-2115
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Meharry Medical College School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1521 Johnson Ferry Rd
Suite 135
Marietta, GA 30062-6408
Phone (678) 247-2115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Cobb Spine and Nerve Institute, LLC | Current | Accepting new patients | |
| Altergyn, LLC | General Practice | Current | Accepting new patients |
| New Life Chiropractic Center LLC | Past | Accepting new patients | |
| Whitehall Wellness Center | Past | Accepting new patients |
Locations
3451 Cobb Pkwy NW
Ste 4
Acworth, GA 30101
Phone (678) 574-5678
413 Pottery Factory Dr
Commerce, GA 30529
Phone (706) 423-9449
1521 Johnson Ferry Rd
Ste 135
Marietta, GA 30062
Phone (678) 247-2115
3823 Roswell Rd
Ste 201
Marietta, GA 30062
Phone (678) 247-2115
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDBADD/Endpoint/GDBADD
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.
-
- General Practice Physician
- Marietta, GA
- NPI 1851861660
-
- Physical Medicine & Rehabilitation Physician
- Acworth, GA
- NPI 1972922607
-
- Chiropractor
- Acworth, GA
- NPI 1649444571
-
- Chiropractor
- Rome, GA
- NPI 1609070788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1073714580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 JOHNSON FERRY RD STE 135",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626408",
"telephone_number": "678-247-2115",
"fax_number": "404-393-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 JOHNSON FERRY RD STE 135",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626408",
"telephone_number": "678-247-2115",
"fax_number": "404-393-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "55824",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "GA",
"license": "55824",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "55824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.