Active NPI
Madeline Grant, PA-C
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116601
- Practice address
- 2501 N Orange Ave Ste 181
Orlando, FL 32804-4675 - Phone
- (407) 303-2040
- Fax
- (407) 303-2040
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9116601 | FL | Primary |
Addresses
Primary practice location
2501 N Orange Ave Ste 181
Orlando, FL 32804-4675
Mailing address
2501 N Orange Ave Ste 181
Orlando, FL 32804-4675
Phone (407) 303-2040
Other practice location 1
836 Sunset Lake Blvd Ste 101
Venice, FL 34292-7555
Phone (941) 408-0500
Other practice location 2
1630 S Tuttle Ave
Sarasota, FL 34239-3108
Phone (941) 556-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115856800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9116601 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Radiology Imaging at Lake Mary LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients |
Locations
714 Doctors Dr
Englewood, FL 34223
Phone (941) 460-1300
900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606
1390 Grand Venture Dr
North Port, FL 34286
Phone (941) 257-2280
5500 Pinebrook Rd
Ste 202
North Venice, FL 34275
Phone (941) 408-0500
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
2501 N Orange Ave
Ste 181
Orlando, FL 32804
Phone (407) 303-2030
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
836 Sunset Lake Blvd
Ste 101
Venice, FL 34292
Phone (941) 408-0500
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1942389747
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1326763921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 181",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044675",
"telephone_number": "407-303-2040",
"fax_number": "407-303-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 181",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044675",
"telephone_number": "407-303-2040",
"fax_number": "407-303-2040"
}
],
"practiceLocations": [
{
"address_1": "836 Sunset Lake Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342927555",
"country_code": "US",
"telephone_number": "941-408-0500",
"fax_number": "941-496-8558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 S Tuttle Ave",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342393108",
"country_code": "US",
"telephone_number": "941-556-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "MADELINE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115856800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.