Organization Active NPI

Grant Telepsychiatry for Women, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1275146458
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Dec 23, 2021

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.