NPIMap

Organization Active NPI

Granville Health System

Doing business as Granville CRNA Group

  • Certified Registered Nurse Anesthetist
  • Oxford, NC
National Provider Identifier
1275638512
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GRANVILLE HEALTH SYSTEM
Doing business as
Granville CRNA Group
Practice address
1010 College St
Oxford, NC 27565-2507
Phone
(919) 690-3000
Fax
(919) 603-1097
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Melanie Hobgood
Title
Acting Ceo
Phone
(919) 690-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

1010 College St
Oxford, NC 27565-2507

Mailing address

PO Box 947
Oxford, NC 27565-0947
Phone (919) 690-3000

Other identifiers 2

IdentifierTypeStateIssuer
8000072MedicaidNC
07705OtherNCBCBS

Other names 1

  • Granville CRNA Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040301000909 NC Part B Supplier - Clinic/Group Practice 1052223757 Receives reassigned benefits from 57 practitioners
Practice locations: Oxford, NC
O20040312001033 NC Part B Supplier - Clinic/Group Practice 1052223757 Receives reassigned benefits from 125 practitioners
7 other NPIs on this enrollment
Practice locations: Oxford, NC; Creedmoor, NC

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Granville Medical Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Granville Primary CareCreedmoor, NC, CCN 343436 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2008
Jul 1, 2008
Granville Internal Medicine and GeriatricsOxford, NC, CCN 343437 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2009
Aug 1, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Granville Health System

    dba South Granville Primary Care

    • Rural Health Clinic/Center
    • Creedmoor, NC
    • NPI 1265430854

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Granville Health System

    dba Granville Internal Medicine & Geriatrics

    • Rural Health Clinic/Center
    • Oxford, NC
    • NPI 1811999055

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 185

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 185

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1275638512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650947",
            "telephone_number": "919-690-3000",
            "fax_number": "919-603-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-690-3000",
            "fax_number": "919-603-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "HOBGOOD",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "919-690-3445"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000072",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07705",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granville CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.