Active NPI
Patrick S Grant Sr.
- Addiction (Substance Use Disorder) Counselor
- Columbus, GA
National Provider Identifier
1083422240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1135 13TH St
Columbus, GA 31901-2248 - Phone
- (706) 887-5030
- Fax
- (706) 243-1877
- NPI assigned
- Dec 20, 2024
- Last updated
- Dec 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1135 13TH St
Columbus, GA 31901-2248
Mailing address
61 Ivy Loop
Phenix City, AL 36867-7123
Phone (706) 615-0514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Treatment of Georgia L P | Past | Accepting new patients | |
| Metro Treatment of Georgia L P | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Columbus Metro Treatment Center
- Methadone Clinic
- Columbus, GA
- NPI 1083030928
-
- Addiction (Substance Use Disorder) Counselor
- Rossville, GA
- NPI 1083595334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1083422240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 IVY LOOP",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677123",
"telephone_number": "706-615-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 13TH ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319012248",
"telephone_number": "706-887-5030",
"fax_number": "706-243-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "PATRICK",
"middle_name": "S",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.