Individual provider Active NPI

Madeline Grant, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1326763921
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116601 Issued in FL
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

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
115856800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107002808 FL Practitioner - Physician Assistant 4981071719 Reassigns benefits to 2 organizations

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
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

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

LicenseStateTypeSpecialty
PA9116601FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary LLC CurrentSince Mar 9, 2026 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 9, 2026 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince Mar 9, 2026 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 20, 2023 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.