NPIMap

Organization Active NPI

Grant Family Medicine, LLC

  • Clinic/Center
  • Grant, AL
National Provider Identifier
1316948649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
12795 Issued in AL
Legal business name
GRANT FAMILY MEDICINE, LLC
Practice address
4500 Main St
Grant, AL 35747-8303
Phone
(256) 728-8600
Fax
(256) 728-8602
NPI assigned
Aug 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hilda Bernice Craze, M.D.NPI 1396788170
Title
Owner
Phone
(256) 728-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 12795 AL Primary

Addresses

Primary practice location

4500 Main St
Grant, AL 35747-8303

Mailing address

4500 Main St
Grant, AL 35747-8303
Phone (256) 728-8600

Other identifiers 2

IdentifierTypeStateIssuer
404999OtherALAETNA
51000192OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316948649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478303",
            "telephone_number": "256-728-8600",
            "fax_number": "256-728-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478303",
            "telephone_number": "256-728-8600",
            "fax_number": "256-728-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAZE",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-728-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "12795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "404999",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000192",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.