Active NPI
Charmaine P Grant, NP
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN251649
- Practice address
- 1100 Johnson Ferry Rd Ste 600
Atlanta, GA 30342-1739 - Phone
- (404) 256-4777
- Fax
- (404) 256-5515
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN251649 | GA | |
| Nurse Practitioner | 363L00000X | RN251649 | GA | Primary |
Addresses
Primary practice location
1100 Johnson Ferry Rd Ste 600
Atlanta, GA 30342-1739
Mailing address
1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (678) 288-9555
Other practice location 1
3330 Preston Ridge Rd Ste 110
Alpharetta, GA 30005-4509
Phone (678) 566-6995
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charmaine.grant.p1@direct.gacancer.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Johnson Ferry Rd
Suite 600
Sandy Springs, GA 30342-1739
Phone (404) 256-4777
Hospital & facility affiliations
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.19 of 100
- Quality
- 69.24
- Improvement activities
- 40
- Cost
- 51.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services G, LLC | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| Smartcare, LLC | Past | Accepting new patients | |
| Northside Imaging LLC | Past | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients |
Locations
3330 Preston Ridge Rd
Ste 110
Alpharetta, GA 30005
Phone (678) 566-6995
1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
540 E Crossville Rd
Ste 210
Roswell, GA 30075
Phone (770) 510-1850
1100 Johnson Fy Rd NE
Ste 600
Sandy Springs, GA 30342
Phone (404) 256-4777
1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549
Interoperability endpoints
- charmaine.grant.p1@direct.gacancer.nextgenshare.com
Organizations & group practices 6
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.
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Durable Medical Equipment & Medical Supplies
- Blue Ridge, GA
- NPI 1629329792
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
-
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1124379284
-
- Urgent Care Clinic/Center
- Atlanta, GA
- NPI 1578849238
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1659921625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411071",
"telephone_number": "678-288-9555",
"fax_number": "678-288-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD STE 600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421739",
"telephone_number": "404-256-4777",
"fax_number": "404-256-5515"
}
],
"practiceLocations": [
{
"address_1": "3330 Preston Ridge Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054509",
"country_code": "US",
"telephone_number": "678-566-6995",
"fax_number": "678-566-0346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "CHARMAINE",
"middle_name": "P",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN251649",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN251649",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charmaine.grant.p1@direct.gacancer.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "1100 Johnson Ferry Rd Ste 600",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303421739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.