Individual provider Active NPI

Jeanolivia Dean Grant, M.D.

  • Family Medicine Physician
  • Saipan, MP
National Provider Identifier
1497994008
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.17134 Issued in AL
Practice address
Lower Navy Hill
Saipan, MP 96950-0409
Phone
(670) 234-8950
NPI assigned
Feb 5, 2009
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 468 MP
Family Medicine Physician 207Q00000X MD.17134 AL Primary

Addresses

Primary practice location

Lower Navy Hill
Saipan, MP 96950-0409

Mailing address

P.O. Box 500409
Saipan, MP 96950-0409
Phone (670) 234-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP, AL, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140624000214 MP Practitioner - Obstetrics/Gynecology 3870758394 Reassigns benefits to 1 organization
I20190321000958 AL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 3870758394 Reassigns benefits to 1 organization
I20190920000554 TN Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 3870758394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 73 clinicians

Practice addresses (Care Compare)

445 Dexter Ave
Suite 4050
Montgomery, AL 36104-3867
Phone (954) 399-4673

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue453
Removal of skin lesions32
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.17134ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Jul 30, 2019 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Feb 18, 2019 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Feb 18, 2019 Accepting new patients

Locations

445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

409 Park Ave
Adamsville, TN 38310
Phone (731) 541-4923

725 Cool Springs Blvd
Ste 600
Franklin, TN 37067
Phone (615) 445-0447

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1497994008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 500409",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969500409",
            "telephone_number": "670-234-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOWER NAVY HILL",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969500409",
            "telephone_number": "670-234-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JEANOLIVIA",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MP",
            "license": "468",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.17134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

Verify at the official NPI Registry.