Carrie J Grant, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6488 Issued in GA

Practice address

3650 Groveland Rd
Ocean Springs, MS 39564-5754

Phone

(228) 875-0780

Fax

(228) 875-1009

NPI assigned

Jan 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Gulf Coast Children's Clinic, PA

  • Clinic/Center
  • Ocean Springs, MS
  • NPI 1750571170
  NPD (past)

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1174861058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 GROVELAND RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645754",
            "telephone_number": "228-875-0780",
            "fax_number": "228-875-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 GROVELAND RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645754",
            "telephone_number": "228-875-0780",
            "fax_number": "228-875-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720A Medical Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395322122",
            "country_code": "US",
            "telephone_number": "228-396-2726",
            "fax_number": "228-875-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CARRIE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Eagle Optics (Eye Village)
• Golden Medical, LLC
• Jeffrey Chancellor Goley
• Gregory Gollott, D.M.D.
• Grace Healthcare, Inc. (AeroCare)
• Emily Gray
• Sasi Gabrielle Greer
• James Robert Grierson Jr., RNFA
• Brett Tyler Grobman, DO
• Jesse Gruich, LCSW

• Medical Physician Assistant in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Medical Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.