Active NPI
Andrea Joy Grant-Vermont, MD
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1619953676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N0060
- Practice address
- 4647 Medical Dr
San Antonio, TX 78229-4403 - Phone
- (210) 358-8144
- Fax
- (210) 358-8536
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N0060 | TX | Primary |
Addresses
Primary practice location
4647 Medical Dr
San Antonio, TX 78229-4403
Mailing address
4647 Medical Dr
San Antonio, TX 78229-4403
Phone (210) 358-5510
Other practice location 1
903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-3441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201033201 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agrantvermont20771@uhssa.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Pediatrics | Current | Accepting new patients |
| Pain Management Specialists | Current | Accepting new patients |
Locations
4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710
903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Interoperability endpoints
- agrantvermont20771@uhssa.direct-ci.com
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1922617125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1619953676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4647 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294403",
"telephone_number": "210-358-5510",
"fax_number": "210-358-8536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294403",
"telephone_number": "210-358-8144",
"fax_number": "210-358-8536"
}
],
"practiceLocations": [
{
"address_1": "903 W Martin St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782070903",
"country_code": "US",
"telephone_number": "210-358-3441",
"fax_number": "210-358-5944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT-VERMONT",
"first_name": "ANDREA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N0060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201033201",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agrantvermont20771@uhssa.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4647 Medical Dr",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782294403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.