Active NPI
Grant Fons, PA
- Physician Assistant
- Redford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010238
- Practice address
- 14671 Telegraph Rd
Redford, MI 48239-3300 - Phone
- (313) 948-3055
- NPI assigned
- Sep 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010238 | MI | Primary |
Addresses
Primary practice location
14671 Telegraph Rd
Redford, MI 48239-3300
Mailing address
14671 Telegraph Rd
Redford, MI 48239-3300
Phone (313) 948-3055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210923000309 | MI | Practitioner - Physician Assistant | 0648677351 | Reassigns benefits to 13 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 S Van Dyke
Bad Axe, MI 48413-9615
1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521
1117 S Van Dyke Rd
Suite 200
Bad Axe, MI 48413-8467
Phone (989) 269-2597
6 N Main St
Elkton, MI 48731-5137
Phone (989) 375-2273
Hospital & facility affiliations
- McLaren Thumb Region
- Scheurer Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010238 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Pathology Services PC | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| Taylor Urgent Care PC | Current | Accepting new patients | |
| Farmington Hills Urgent Care Walk-in Clinic PC | Past | Accepting new patients |
Locations
1117 S Van Dyke Rd
Ste 200
Bad Axe, MI 48413
Phone (989) 269-2597
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
1060 S Van Dyke Rd
Ste 600700
Bad Axe, MI 48413
23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400
Organizations & group practices 17
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.
-
- Urgent Care Clinic/Center
- Chesterfield, MI
- NPI 1629547195
MI
-
- Urgent Care Clinic/Center
- Sterling Heights, MI
- NPI 1992464697
MI
-
- Urgent Care Clinic/Center
- Rochester Hills, MI
- NPI 1225554694
MI
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1619647989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14671 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393300",
"telephone_number": "313-948-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14671 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393300",
"telephone_number": "313-948-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONS",
"first_name": "GRANT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.