Granada Stephens Neil, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200501450 Issued in NC

Practice address

1400 Millgate Dr
Suite D
Winston Salem, NC 27103-1338

Phone

(336) 774-2194

Fax

(336) 774-2195

NPI assigned

Mar 15, 2006

Last updated

Aug 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Granada Shalane Stephens Former name

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Family Practice

Education

Wake Forest University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Neil Group IncGroup PAC ID 2365581196, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Neil Group, Inc

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1518142280

  Family Medicine

  Medicare reassignment Care Compare group NPD
• The Neil Group, Inc

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1720115512
  NPD
• Doctors Home Visits of the Triad, PC

  dba Doctors Home Visits of Winston-Salem

  • Home Health Agency
  • Winston Salem, NC
  • NPI 1417907395
  NPD (past)
• Physicians Home Visits, PC

  • Adult Medicine Physician
  • Winston Salem, NC
  • NPI 1083899009
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1609845478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MILLGATE DR",
            "address_2": "SUITE D",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031338",
            "telephone_number": "336-774-2194",
            "fax_number": "336-774-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MILLGATE DR",
            "address_2": "SUITE D",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031338",
            "telephone_number": "336-774-2194",
            "fax_number": "336-774-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "GRANADA",
        "middle_name": "STEPHENS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200501450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRANADA",
            "last_name": "STEPHENS",
            "middle_name": "SHALANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devora Renee Neely, MSW, P-LCSW
• Lauren Joyce Neff, FNP
• Melissa Rosales Neff
• Neighborhood Empowering Wealth
• Neighborhood Empowering Wealth
• Ransford Authurbury Neil II, MA, LPC
• Jillian Leigh Neill, PHD
• Kara Neill, MA CCC SLP
• Heather D Nelkin, PHARMD, BCOP, CPP
• Sean Patrick Nelligan, L.C.S.W., A.C.S.W.,

• Family Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.