Active NPI
Stuart Victor Grandis, MD
- Family Medicine Physician
- Richmond, VA
National Provider Identifier
1164424560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101018603
- Practice address
- 1 Gaymont Rd
Richmond, VA 23229-8014 - Phone
- (804) 288-8976
- Fax
- (804) 288-8976
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101018603 | VA | Primary |
Addresses
Primary practice location
1 Gaymont Rd
Richmond, VA 23229-8014
Mailing address
1 Gaymont Rd
Richmond, VA 23229-8014
Phone (804) 288-8976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5618673 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101018603 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164424560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GAYMONT RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232298014",
"telephone_number": "804-288-8976",
"fax_number": "804-288-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GAYMONT RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232298014",
"telephone_number": "804-288-8976",
"fax_number": "804-288-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDIS",
"first_name": "STUART",
"middle_name": "VICTOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101018603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5618673",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.