Active NPI
John Michael Gransbach, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1265118343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN321441
- Practice address
- 1605 Chantilly Dr NE Ste 110
Atlanta, GA 30324-3277 - Phone
- (404) 785-5437
- NPI assigned
- Jun 23, 2023
- 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 |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 2023024715 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN321441 | GA | Primary |
Addresses
Primary practice location
1605 Chantilly Dr NE Ste 110
Atlanta, GA 30324-3277
Mailing address
1605 Chantilly Dr NE Ste 110
Atlanta, GA 30324-3277
Phone (404) 785-5437
Other practice location 1
9904 Clayton Rd Ste 135
Saint Louis, MO 63124-1149
Phone (314) 467-8393
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250430001738 | GA | Order and Referring Only - Nurse Practitioner | 9537503016 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023024715 | MO | MD | Psychosomatic Medicine Physician |
| RN321441 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1265118343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 CHANTILLY DR NE STE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243277",
"telephone_number": "404-785-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 CHANTILLY DR NE STE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243277",
"telephone_number": "404-785-5437"
}
],
"practiceLocations": [
{
"address_1": "9904 Clayton Rd Ste 135",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631241149",
"country_code": "US",
"telephone_number": "314-467-8393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANSBACH",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-23",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "MO",
"license": "2023024715",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN321441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Brett Grane, NP
- Christina Grange, PHD
- Deja Grangent
- Letitia Keshaun Grangent, MS, MED, LPC
- Julia E Granger, PT, DPT
- Francesca Gransberry
- Grant Medical Consulting LLC (SwiftClear Enterprises)
- Grant Park Counseling Group, LLC
- Grant Park Dental Group PC
- Grant Park Family Health Center, Inc. (Grant Park Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.