Individual provider Active NPI

Tshaun Grant

  • Psychiatric/Mental Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1336775550
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN260961 Issued in GA
Practice address
11605 Abercorn St Ste 100
Savannah, GA 31419-1903
Phone
(888) 980-9166
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5015880 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61286855 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN260961 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406446 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G166718 IA

Addresses

Primary practice location

11605 Abercorn St Ste 100
Savannah, GA 31419-1903

Mailing address

11605 Abercorn St Ste 100
Savannah, GA 31419-1903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201028002685 GA Practitioner - Nurse Practitioner 3971934894 Reassigns benefits to 2 organizations
I20240806001281 WA Practitioner - Nurse Practitioner 3971934894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

1700 Northside Dr NW
Suite A7
Atlanta, GA 30318-2695
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN260961GAMDPsychiatric/Mental Health Nurse Practitioner
G166718IAMDPsychiatric/Mental Health Nurse Practitioner
5015880NCMDPsychiatric/Mental Health Nurse Practitioner
406446NYMDPsychiatric/Mental Health Nurse Practitioner
AP61286855WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Family Medicine, PC Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 2, 2024 Accepting new patients
Brightside Medical of Michigan PC CurrentSince Aug 1, 2024 Accepting new patients
SGMP Southland LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

1150 Cornell Ave
Savannah, GA 31406
Phone (912) 354-3911

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1336775550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 ABERCORN ST STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 ABERCORN ST STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191903",
            "telephone_number": "888-980-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TSHAUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5015880",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61286855",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN260961",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406446",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G166718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.