Individual provider Active NPI

Grant Kevin Dewitt, DO

  • Emergency Medicine Physician
  • Lawton, OK
National Provider Identifier
1124798491
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8573 Issued in OK
Practice address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone
(580) 884-0331
NPI assigned
Sep 17, 2021
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 8573 OK Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 8573 OK

Addresses

Primary practice location

3401 W Gore Blvd
Lawton, OK 73505-6332

Mailing address

12420 SW Graclyn CT
Lawton, OK 73505-6009
Phone (580) 884-0331

Other practice location 1

2401 W Wrangler Blvd
Seminole, OK 74868-1917
Phone (432) 758-5811

Other practice location 2

1323 W 6th Ave
Stillwater, OK 74074-4306
Phone (405) 742-5454

Other practice location 3

3701 E Main St
Weatherford, OK 73096-3309
Phone (580) 772-5551

Other practice location 4

1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240825000146 OK Practitioner - Emergency Medicine 5799224507 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians
Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians
Ehp of Ponca City LLCGroup PAC ID 1850828948, 21 clinicians
Centurion Emergency Partners, LLCGroup PAC ID 1153853130, 13 clinicians
Hospitalist Medicine Physicians of Oklahoma TCS LLCGroup PAC ID 7315315454, 17 clinicians

Practice addresses (Care Compare)

1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (405) 372-1480

1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524

1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321

2621 N Whisenant Dr
Duncan, OK 73533-0911
Phone (580) 252-5300

305 S 5TH St
St Marys Regional Medical Center
Enid, OK 73701-5832
Phone (580) 233-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8573OKMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine CurrentSince Jun 15, 2025 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Aug 20, 2024 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Mar 27, 2025 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Mar 27, 2025 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Elite Integral Staffing LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Oct 30, 2024 Accepting new patients
Arbuckle Memorial Hospital Current Accepting new patients
Centurion Emergency Partners LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Oct 30, 2024 Accepting new patients
Ehp of Ponca City LLC Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients

Locations

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: gdewitt516304@direct-ehr-ssmhc.com

Organizations & group practices 12

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.

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1124798491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 SW GRACLYN CT",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056009",
            "telephone_number": "580-884-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-884-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Wrangler Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "OK",
            "postal_code": "748681917",
            "country_code": "US",
            "telephone_number": "432-758-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1323 W 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740744306",
            "country_code": "US",
            "telephone_number": "405-742-5454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730963309",
            "country_code": "US",
            "telephone_number": "580-772-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Green Ave",
            "address_purpose": "LOCATION",
            "city": "Purcell",
            "state": "OK",
            "postal_code": "730801642",
            "country_code": "US",
            "telephone_number": "405-527-6524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "GRANT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8573",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "8573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.