Individual provider Active NPI

Greta Eve Grant, PA-C

  • Physician Assistant
  • Pineville, NC
National Provider Identifier
1679987770
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07289 Issued in NC
Practice address
9101 Pineville Matthews Rd Ste D
Pineville, NC 28134-8826
Phone
(704) 323-3300
NPI assigned
Jun 17, 2014
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2834 SC
Physician Assistant 363A00000X 0010-07289 NC Primary

Addresses

Primary practice location

9101 Pineville Matthews Rd Ste D
Pineville, NC 28134-8826

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2237

Other identifiers 1

IdentifierTypeStateIssuer
0397730027OtherNCNSC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180109001064 NC Practitioner - Physician Assistant 2961629332 Reassigns benefits to 2 organizations
I20180109001916 SC Practitioner - Physician Assistant 2961629332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthocarolinaGroup PAC ID 2062316821, 288 clinicians

Practice addresses (Care Compare)

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282

2536 Lengers Way
Fort Mill, SC 29707-7126
Phone (803) 313-3294

601 Sutton Rd S
Fort Mill, SC 29715-8439
Phone (803) 328-6306

9101 Pineville Matthews Rd
Suite D
Pineville, NC 28134-8826
Phone (704) 323-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2834SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Nov 20, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 20, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 20, 2017 Accepting new patients
Orthocarolina Physician Assistant CurrentSince May 13, 2019 Accepting new patients
Orthocarolina CurrentSince May 13, 2019 Accepting new patients
Orthocarolina Physician Assistant Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

9101 Pineville Matthews Rd
Ste D
Pineville, NC 28134
Phone (704) 323-3300

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

134 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3130

Organizations & group practices 9

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 1

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1679987770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PINEVILLE MATTHEWS RD STE D",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348826",
            "telephone_number": "704-323-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "GRETA",
        "middle_name": "EVE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2834",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC #",
            "identifier": "0397730027",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

Verify at the official NPI Registry.