Active NPI
Edward Keith Grant, PA-C
- Surgical Physician Assistant
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4120
- Practice address
- 3708 Northside Dr
Macon, GA 31210-2404 - Phone
- (478) 745-4206
- Fax
- (478) 254-5463
- NPI assigned
- Jun 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4120 | GA | |
| Surgical Physician Assistant | 363AS0400X | 4120 | GA | Primary |
Addresses
Primary practice location
3708 Northside Dr
Macon, GA 31210-2404
Mailing address
3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4120 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon Orthopaedic & Hand Center, PA | Physician Assistant | Current | Accepting new patients |
Locations
908 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 272-7411
717 S 8th St
Griffin, GA 30224
Phone (770) 227-4600
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
3708 Northside Dr
Macon, GA 31210
Phone (478) 254-5303
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
3051 Watson Blvd
Ste 525
Warner Robins, GA 31093
Phone (478) 953-4563
Interoperability endpoints
- egrant433169@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Macon, GA
- NPI 1356489850
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1245236744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-745-4206",
"fax_number": "478-254-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-745-4206",
"fax_number": "478-254-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "EDWARD",
"middle_name": "KEITH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "4120",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "4120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.