Individual provider Active NPI

McKenna Grant

  • Physician Assistant
  • Saint George, UT
National Provider Identifier
1144027780
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
585 E Riverside Dr Ste 201
Saint George, UT 84790-7277
Phone
(435) 216-7032
NPI assigned
Mar 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 14237199-1206 UT

Addresses

Primary practice location

585 E Riverside Dr Ste 201
Saint George, UT 84790-7277

Mailing address

585 E Riverside Dr Ste 201
Saint George, UT 84790-7277
Phone (435) 216-7032

Other practice location 1

1250 Great Basin Blvd
Ely, NV 89301-2096
Phone (435) 216-7032 ext. 1106

Other practice location 2

420 N Navajo Dr
Page, AZ 86040-0950
Phone (435) 216-7032 ext. 1106

Other practice location 3

340 Falcon Ridge Pkwy Ste 601
Mesquite, NV 89027-8852
Phone (435) 216-7032 ext. 1106

Other practice location 4

1181 W Royal Hunte Dr
St George, UT 84790
Phone (435) 216-7032 ext. 1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251210004563 UT Practitioner - Physician Assistant 5698269272 Reassigns benefits to 1 organization
I20260528002652 AZ Practitioner - Physician Assistant 5698269272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Campbell Univ School of Osteopathic Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

585 E Riverside Dr
Suite 201
Saint George, UT 84790-7277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Southern Utah CurrentSince Dec 1, 2025 Accepting new patients
Mallavia OD PC PastSince May 4, 2026 Accepting new patients

Locations

460 N Main St
Richfield, UT 84701
Phone (435) 658-7400

585 E Riverside Dr
Ste 201
St George, UT 84790
Phone 43521670321106

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1144027780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E RIVERSIDE DR STE 201",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907277",
            "telephone_number": "435-216-7032",
            "fax_number": "866-836-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E RIVERSIDE DR STE 201",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907277",
            "telephone_number": "435-216-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Great Basin Blvd",
            "address_purpose": "LOCATION",
            "city": "Ely",
            "state": "NV",
            "postal_code": "893012096",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 N Navajo Dr",
            "address_purpose": "LOCATION",
            "city": "Page",
            "state": "AZ",
            "postal_code": "860400950",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Falcon Ridge Pkwy Ste 601",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278852",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 W Royal Hunte Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "84790",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-01",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "14237199-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.