Grant Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3517 Issued in AL

Legal business name

GRANT CLINIC

Practice address

91 2ND Ave
Grant, AL 35747

Phone

(256) 728-4219

Fax

(256) 728-7793

NPI assigned

Mar 9, 2007

Last updated

Aug 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olympia Tucker

Title

Office Manager

Phone

(256) 728-4219

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1669504585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357470429",
            "telephone_number": "256-728-4219",
            "fax_number": "256-728-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 2ND AVE",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "35747",
            "telephone_number": "256-728-4219",
            "fax_number": "256-728-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "OLYMPIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-728-4219"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529600280",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barfield Enterprises, Inc (Grant Pharmacy)
• Barfield Enterprises, Inc.
• Benjamin Glenn Barnes, FNP-BC
• John C Brewer, MD
• Katie Fossett Daniel, CRNP
• Grant Dental Care PC
• Grant Family Eye Care, P.C.
• Grant Family Medicine, LLC
• Grant Wellness Clinic, LLC
• Nicole B Jones, RPH

• Family Medicine Physician in Grant, AL
• Providers in Grant, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.