Cody Mygrant, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

408 N Hancock Ave
Odessa, TX 79761-5140

Phone

(432) 580-7373

NPI assigned

Aug 31, 2015

Last updated

Aug 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Bend Medical GroupGroup PAC ID 2163326281, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cody.mygrant.1@1603.direct.athenahealth.com

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.

• Big Bend Medical Group

  dba Family Medical Center

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  Medicare reassignment Care Compare group
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Odessa Texas Hospital Company LLC

  dba Odessa Regional Medical Center

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1306673009
  Care Compare affiliation

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1528435153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N HANCOCK AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615140",
            "telephone_number": "432-580-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N HANCOCK AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615140",
            "telephone_number": "432-580-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYGRANT",
        "first_name": "CODY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Murphy
• Amanda Marie Murray, D.O.
• Music City Mall Dental Practice, P.C.
• Taylor Musick, CCC SLP
• Angela Renee Myers, LCDC
• Sahar Nadimi, DDS
• Sumaira Naeem
• Subhash K Nagalla, M.D.
• Naidu Clinic
• Jayaram Naidu, MD

• Surgical Physician Assistant in Odessa, TX
• Providers in Odessa, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.