Active NPI
Molly Grassman, PA-C
- Medical Physician Assistant
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9121709
- Practice address
- 1699 S 14TH St Ste 16
Fernandina Beach, FL 32034-1965 - Phone
- (904) 223-3321
- Fax
- (904) 223-2169
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9121709 | FL | Primary |
Addresses
Primary practice location
1699 S 14TH St Ste 16
Fernandina Beach, FL 32034-1965
Mailing address
5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1315 S la Canada Dr
Green Valley, AZ 85622-1915
Phone (520) 420-2865
2380 N Ferguson Ave
Tucson, AZ 85712-2837
603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Oncology Associates PC | Current | Accepting new patients | |
| Banner Urgent Care Services, LLC | Past | Accepting new patients | |
| East Valley Urgent Care, LLC | Past | Accepting new patients |
Locations
1315 S La Canada Dr
Green Valley, AZ 85622
Phone (520) 420-2480
1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720
2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409
603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560
1620 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 624-7445
Interoperability endpoints
- molly.grassman@aoa.ikm.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- Urgent Care Clinic/Center
- San Tan Valley, AZ
- NPI 1942653019
-
dba Urgent Care Extra-Ironwood
- Urgent Care Clinic/Center
- San Tan Valley, AZ
- NPI 1649515347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1275807422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5191 FIRST COAST TECH PKWY FL 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240609",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1699 S 14TH ST STE 16",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320341965",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSMAN",
"first_name": "MOLLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9121709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.