Individual provider Active NPI

Patricia Grant

  • Adult Health Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1629175609
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5016117 Issued in NC
Practice address
3145 Henderson Dr
Jacksonville, NC 28546-5249
Phone
(910) 687-4888
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F303710-1 NY
Adult Health Nurse Practitioner 363LA2200X 5016117 NC Primary

Addresses

Primary practice location

3145 Henderson Dr
Jacksonville, NC 28546-5249

Mailing address

695 S Bennett St
Southern Pines, NC 28387-5919
Phone (910) 687-4888

Other practice location 1

1113 Lennoxville Rd
Beaufort, NC 28516-2026
Phone (910) 687-4888

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630001944 NC Practitioner - Nurse Practitioner 1557465531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

3145 Henderson Dr
Jacksonville, NC 28546-5249
Phone (910) 728-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F303710-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions PLLC CurrentSince May 5, 2022 Accepting new patients
Integrated Pain Solutions PLLC CurrentSince May 5, 2022 Accepting new patients

Locations

3382 Henderson Dr
Jacksonville, NC 28546
Phone (910) 728-4410

3145 Henderson Dr
Jacksonville, NC 28546
Phone (910) 728-4410

704 Progress Pl
#A
Laurinburg, NC 28352
Phone (910) 277-2999

695 S Bennett St
Southern Pnes, NC 28387
Phone (910) 687-6187

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

800 Jefferson St
Ste 102
Whiteville, NC 28472
Phone (910) 445-2577

2909 Market St
Wilmington, NC 28403
Phone (910) 795-2118

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1629175609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875919",
            "telephone_number": "910-687-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465249",
            "telephone_number": "910-687-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Lennoxville Rd",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "NC",
            "postal_code": "285162026",
            "country_code": "US",
            "telephone_number": "910-687-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F303710-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5016117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.