Grant R Turley, DO
Individual provider Active NPI Family Medicine Physician · Evansville, IN
NPI 1376109264 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1376109264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11020738A (IN)
- Practice address
- 415 W Columbia St Ste 110
Evansville, IN 47710-1656 - Phone
- (812) 450-3363
- NPI assigned
- May 15, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
811 E Parrish Ave
Suite 102
Owensboro, KY 42303-3258
Phone (270) 688-2077
Hospital & facility affiliations
- Owensboro Health Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119003959 | KY | Practitioner - Family Practice | 9638403132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current |
Accepting new patients | |
| Owensboro Health Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Clinic Inc | Family Medicine | Current |
Accepting new patients |
| Owensboro Health Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161
10455 Orthopaedic Dr
Newburgh, IN 47630
Phone (812) 858-2100
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
685 Vail St
Princeton, IN 47670
Phone (812) 386-6560
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
811 E Parrish Ave
Ste 102
Owensboro, KY 42303
Phone (270) 688-1228
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
811 E Parrish Ave
#102B
Owensboro, KY 42303
Phone (270) 688-1009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05832 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 11020738A | IN | Yes |
Addresses
Primary practice location
415 W Columbia St Ste 110
Evansville, IN 47710-1656
Mailing address
415 W Columbia St Ste 110
Evansville, IN 47710-1656
Phone (812) 450-3363
Other practice location 1
811 E Parrish Ave Ste 102
Owensboro, KY 42303-3258
Phone (270) 688-2077
Other practice location 2
811 E Parrish Ave Ste 102B
Owensboro, KY 42303-3258
Phone (270) 688-1009
Other providers in Evansville, IN
- Matthew Alva Tucker
- Ryan David Tucker
- William Jay Tuley
- Andrea Jean Tuma
- Rekha Tummala
- Susan B Turley
- Angela D Turner-Brown
- Gena Turner
- Lana Turner
- Stacey Turner
All providers in Evansville, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.