Active NPI
Adam Grant, D.O.
- Family Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-9902
- Practice address
- 401 W Capitol Ave
Little Rock, AR 72201-3421 - Phone
- (501) 374-2626
- Fax
- (501) 374-2655
- NPI assigned
- Apr 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 274782 | NY | |
| Family Medicine Physician | 207Q00000X | E-9902 | AR | Primary |
Addresses
Primary practice location
401 W Capitol Ave
Little Rock, AR 72201-3421
Mailing address
401 W Capitol Ave
Little Rock, AR 72201-3421
Phone (501) 374-2626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160913001327 | AR | Practitioner - Family Practice | 6406073055 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
3201 Springhill Dr
Suite 100
North Little Rock, AR 72117-2905
Phone (501) 955-4530
505 W Pershing
Suite C
North Little Rock, AR 72114-2147
Phone (501) 945-2033
625 United Dr
Suite 120a
Conway, AR 72032-7810
Phone (501) 358-6720
Hospital & facility affiliations
- Elite Home Health
- Baptist Health Medical Center-Little Rock
- Baptist Health Medical Center- Conway
- Conway Regional Medical Center, Inc
- Baptist Health Rehabilitation Institute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Family Medicine | Current | Accepting new patients |
| Arkansas Health Group | Family Medicine | Current | Accepting new patients |
| Arkansas Health Group | Family Medicine | Current | Accepting new patients |
| Arkansas Health Group | Family Medicine | Past | Accepting new patients |
Locations
625 United Dr
Ste 120A
Conway, AR 72032
Phone (501) 358-6720
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
4635 John F Kennedy Blvd
North Little Rock, AR 72116
Phone (501) 435-3325
505 W Pershing Blvd
Ste C
North Little Rock, AR 72114
Phone (501) 758-1002
3201 Springhill Dr
Ste 100
North Little Rock, AR 72117
Phone (501) 955-4530
Interoperability endpoints
- agrant151328@direct.baptist-healthar.org
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.
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1740299478
AR, Family Medicine
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1790383156
Family Medicine
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Inpatient rehabilitation facility
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
-
- Home Health Agency
- Little Rock, AR
- NPI 1447597182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1487074639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W CAPITOL AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722013421",
"telephone_number": "501-374-2626",
"fax_number": "501-374-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W CAPITOL AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722013421",
"telephone_number": "501-374-2626",
"fax_number": "501-374-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ADAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-25",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "274782",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-9902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.