NPIMap

Individual provider Active NPI

J Kirkland Grant, M.D.

  • Obstetrics & Gynecology Physician
  • Mesquite, TX
National Provider Identifier
1659370302
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F4018 Issued in TX
Practice address
929 N Galloway Ave Ste 104
Mesquite, TX 75149-2400
Phone
(972) 686-8200
Fax
(972) 686-7711
NPI assigned
Jul 15, 2005
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F4018 TX Primary

Addresses

Primary practice location

929 N Galloway Ave Ste 104
Mesquite, TX 75149-2400

Mailing address

929 N Galloway Ave
Ste 104
Mesquite, TX 75149-2400
Phone (972) 686-8200

Other identifiers 1

IdentifierTypeStateIssuer
084138901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000408 TX Practitioner - Obstetrics/Gynecology 4789758889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 N Galloway Ave
Suite 104
Mesquite, TX 75149-2400
Phone (972) 686-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
J Kirkland Grant, M.D. PA Obstetrics & Gynecology CurrentSince Oct 1, 1979 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Dec 1, 2022 Accepting new patients
Rockwall Regional Hospital, LLC Past Accepting new patients
Prasad Maddukuri MD PLLC PastSince Aug 1, 2020 Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

929 N Galloway Ave
Ste 104
Mesquite, TX 75149
Phone (972) 216-0079

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

182 S Collins Rd
Ste 800
Sunnyvale, TX 75182
Phone (214) 206-3695

341 Wheatfield Dr
Ste 190
Sunnyvale, TX 75182
Phone (469) 436-3650

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1659370302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492400",
            "telephone_number": "972-686-8200",
            "fax_number": "972-686-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492400",
            "telephone_number": "972-686-8200",
            "fax_number": "972-686-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "J",
        "middle_name": "KIRKLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084138901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.