Allison O Granger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1158 Issued in AL

Practice address

1419 Hamric Dr E Ste 101
Oxford, AL 36203-2174

Phone

(256) 235-3660

Fax

(256) 235-3663

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Forefront Dermatology, S.C.

  dba Advanced Dermatology & Skin Care Centre

  • Dermatology Physician
  • Mobile, AL
  • NPI 1366936759
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  dba Advanced Dermatology and Skin Care Specialists, A Forefront Dermatolog

  • Dermatology Physician
  • Oxford, AL
  • NPI 1295497634
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1376096107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HAMRIC DR E STE 101",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032174",
            "telephone_number": "256-235-3660",
            "fax_number": "256-235-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Village Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "AL",
            "postal_code": "350941107",
            "country_code": "US",
            "telephone_number": "205-517-7513",
            "fax_number": "205-413-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "ALLISON",
        "middle_name": "O",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-1158",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Allison.Granger@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1419 Hamric Dr E Ste 101",
            "city": "Oxford",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362032174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Allison.Granger@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2050 Village Dr Ste 2",
            "city": "Leeds",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350941107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Gene Gaines, MD
• Jessica Marie Gamberi, NP
• Diane Leigh Gardner, PHARM D.
• Gillespie Dental LLC
• Jessica Glass, CRNP
• Green Chiropractic Clinic, Inc
• Green Chiropractic Clinic, Inc.
• Brandi Pearce Green, MS, RD, LD
• Steven Bert Green, D.C.
• Reagan Schrader Greenwood, MSW

• Physician Assistant in Oxford, AL
• Providers in Oxford, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.

Verify at the official NPI Registry.