Jeanolivia Dean Grant, M.D.
Individual provider Active NPI Family Medicine Physician · Saipan, MP
NPI 1497994008 · NPPES record last updated Feb 18, 2019
Key facts
- NPI
- 1497994008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD.17134 (AL)
- Practice address
- Lower Navy Hill
Saipan, MP 96950-0409 - Phone
- (670) 234-8950
- NPI assigned
- Feb 5, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Family Practice
- 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 LLC
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 453 |
| Removal of skin lesions | 32 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MP, AL, TN
- 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 |
|---|---|---|---|---|
| I20140624000214 | MP | Practitioner - Obstetrics/Gynecology | 3870758394 | Reassigns benefits to 1 organization |
| I20190321000958 | AL | Practitioner - Family Practice |
3870758394 | Reassigns benefits to 1 organization |
| I20190920000554 | TN | Practitioner - Family Practice |
3870758394 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.17134 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of FL, LLC | Family Medicine | Current |
Accepting new patients |
| Vohra Post Acute Care Physicians of the East, PA | Family Medicine | Current |
Accepting new patients |
| Vohra Wound Physicians of FL, LLC | Family Medicine | Current |
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 (888) 250-6394
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 468 | MP | |
| Family Medicine Physician | 207Q00000X | MD.17134 | AL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468 | Other | MP | LICENSE |
Other providers in Saipan, MP
- Doemiko Amein Flores
- Annalyn Durante Gallardo
- Jackyleen Kate Galvez
- Kendall Elizabeth Gladding
- Russel Guico Gozar
- Zoe Stephanson Guevarra
- Willi Diethelm Gutowski
- Irma M. Halaby
- Michael Estes Hall
- David Hardt
All providers in Saipan, MP · Family Medicine Physician in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2019. 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.