NPIMap

Organization Active NPI

Granville Health Inc

Doing business as Granville Urology Associates

  • Urology Physician
  • Oxford, NC
National Provider Identifier
1336380708
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GRANVILLE HEALTH INC
Doing business as
Granville Urology Associates
Practice address
102 Professional Park
Suite C
Oxford, NC 27565-2501
Phone
(919) 690-0435
Fax
(252) 492-2028
NPI assigned
Mar 16, 2009
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
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

102 Professional Park
Suite C
Oxford, NC 27565-2501

Mailing address

PO Box 986
Oxford, NC 27565-0986
Phone (919) 690-0435

Other identifiers 1

IdentifierTypeStateIssuer
5911739MedicaidNC

Other names 1

  • Granville Urology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000411 NC Part B Supplier - Clinic/Group Practice 0840341822 Receives reassigned benefits from 11 practitioners
6 other NPIs on this enrollment
Practice locations: Oxford, NC

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1097940Granville Urology Associates102 Professional Park Drive, Suite C, Oxford, NC 27565Provider-performed microscopyApr 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1336380708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650986",
            "telephone_number": "919-690-0435",
            "fax_number": "252-492-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK",
            "address_2": "SUITE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652501",
            "telephone_number": "919-690-0435",
            "fax_number": "252-492-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911739",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granville Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.