Active NPI
Granville Health System
- Anesthesiology Physician
- Oxford, NC
National Provider Identifier
1093974404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 26406
- Legal business name
- GRANVILLE HEALTH SYSTEM
- Practice address
- 1010 College St
Oxford, NC 27565-2507 - Phone
- (919) 690-3000
- Fax
- (919) 690-3457
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Hobgood
- Title
- Acting Ceo
- Phone
- (919) 690-3445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 26406 | NC | Primary |
Addresses
Primary practice location
1010 College St
Oxford, NC 27565-2507
Mailing address
PO Box 947
Oxford, NC 27565-0947
Phone (919) 690-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07705 | Other | NC | BLUE CROSS |
| 5950159 | Medicaid | NC |
Other names 1
- GRANVILLE PHYSICIANS GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312001033 | NC | Part B Supplier - Clinic/Group Practice | 1052223757 |
Receives reassigned benefits from 125 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oxford, NC; Creedmoor, NC |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Certified Registered Nurse Anesthetist
- Oxford, NC
- NPI 1275638512
O20040312001033
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1093974404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947",
"city": "OXFORD",
"state": "NC",
"postal_code": "275650947",
"telephone_number": "919-690-3000",
"fax_number": "919-690-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 COLLEGE ST",
"city": "OXFORD",
"state": "NC",
"postal_code": "275652507",
"telephone_number": "919-690-3000",
"fax_number": "919-690-3457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANVILLE HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "HOBGOOD",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "ACTING CEO",
"authorized_official_telephone_number": "919-690-3445"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NC",
"license": "26406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "07705",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950159",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GRANVILLE PHYSICIANS GROUP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GRANVILLE PHYSICIANS GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oxford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.