Active NPI
Grant Telepsychiatry for Women, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Savannah, GA
National Provider Identifier
1275146458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GRANT TELEPSYCHIATRY FOR WOMEN, LLC
- Practice address
- 13051 Abercorn St Ste B3-720
Savannah, GA 31419-1954 - Phone
- (888) 980-9166
- NPI assigned
- Aug 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tshaun Grant, PMHNP
- Title
- Owner
- Phone
- (888) 980-9166
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
13051 Abercorn St Ste B3-720
Savannah, GA 31419-1954
Mailing address
13051 Abercorn St Ste B3-720
Savannah, GA 31419-1954
Phone (912) 344-5944
National Provider Directory
National Provider DirectoryLocations
13051 Abercorn St
Ste B3720
Savannah, GA 31419
Phone (888) 980-9166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640217600000",
"number": "1275146458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13051 ABERCORN ST STE B3-720",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191954",
"telephone_number": "912-344-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13051 ABERCORN ST STE B3-720",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191954",
"telephone_number": "888-980-9166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT TELEPSYCHIATRY FOR WOMEN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-26",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "TSHAUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-980-9166",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.