NPIMap

Individual provider Active NPI

Grant Needham, PA-C

  • Physician Assistant
  • Washington, UT
National Provider Identifier
1699870899
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
284995-1206 Issued in UT
Practice address
1107 N Casitas Hill Loop
Washington, UT 84780-8922
Phone
(435) 632-7681
Fax
(435) 250-3615
NPI assigned
Sep 13, 2006
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 284995-1206 UT Primary
Medical Physician Assistant 363AM0700X 284995-1206 UT

Addresses

Primary practice location

1107 N Casitas Hill Loop
Washington, UT 84780-8922

Mailing address

1107 N Casitas Hill Loop
Washington, UT 84780-8922
Phone (435) 632-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040830000196 UT Practitioner - Physician Assistant 8123093671 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centric Physicians Intermountain Region, PLLCGroup PAC ID 2466880851, 10 clinicians

Practice addresses (Care Compare)

1078 N Coral Canyon Blvd
Washington, UT 84780-2777
Phone (435) 634-7305

1205 E Bonner Way
Salt Lake City, UT 84117-4917
Phone (830) 267-4575

134 W 2025
St George, UT 84770-8790
Phone (830) 267-4575

1379 W Sky Rocket Rd
St George, UT 84770-1354
Phone (830) 267-4575

1510 E Ovation PL
Washington, UT 84780-1759
Phone (435) 429-0000

1542 W 1170
St George, UT 84770-6596
Phone (830) 267-4575

2192 W 100
Hurricane, UT 84737-1329
Phone (830) 267-4575

2654 Red Cliffs Dr
St George, UT 84790-5827
Phone (830) 267-4575

324 N 1680
St George, UT 84790-2500
Phone (830) 267-4575

4480 S Arrowhead Canyon Dr
St George, UT 84790-4969
Phone (830) 267-4575

45 N 100
Suite 210
Hurricane, UT 84737-1603
Phone (877) 541-0665

48 W 700
St George, UT 84770-3547
Phone (877) 541-0665

5190 S Washington Fields Rd
Washington, UT 84780-1763
Phone (830) 267-4575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2660AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Aj Needham PA Corporation Family Medicine CurrentSince Jul 1, 2026 Accepting new patients
Healthdrive Medical Services Intermountain, PC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Emergency Physicians Integrated Care, LLC Past Accepting new patients
Robert D. Pearson PC PastSince Aug 2, 2020 Accepting new patients
Elite Anesthesia Associates Past Accepting new patients

Locations

416 N State St
Hurricane, UT 84737
Phone (435) 635-9833

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 9

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1699870899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N CASITAS HILL LOOP",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808922",
            "telephone_number": "435-632-7681",
            "fax_number": "435-250-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N CASITAS HILL LOOP",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808922",
            "telephone_number": "435-632-7681",
            "fax_number": "435-250-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "GRANT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "284995-1206",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "284995-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

Verify at the official NPI Registry.