Individual provider Active NPI

Richard Lowell Grantier III, M.D.

  • Emergency Medicine Physician
  • Hoover, AL
National Provider Identifier
1720441504
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.41359 Issued in AL
Practice address
4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone
(205) 985-4111
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T-3124 MS
Sports Medicine (Emergency Medicine) Physician 207PS0010X 59053 TN
Sports Medicine (Emergency Medicine) Physician 207PS0010X 41359 AL
Emergency Medicine Physician 207P00000X MD.41359 AL Primary

Addresses

Primary practice location

4517 Southlake Pkwy
Hoover, AL 35244-3280

Mailing address

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001812 AL Practitioner - Internal MedicinePractitioner - Sports MedicinePractitioner - Emergency Medicine 3274829544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine, Sports Medicine
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Doug Baker Blvd
Hoover, AL 35242-2013
Phone (205) 408-0700

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.41359ALMDEmergency Medicine Physician
T-3124MSMDEmergency Medicine Physician
41359ALMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 430
Birmingham, AL 35243
Phone (205) 605-8180

4517 Southlake Pkwy
Ste 202
Hoover, AL 35244
Phone (205) 985-4111

4517 Southlake Pkwy
Hoover, AL 35244
Phone (205) 329-7585

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1720441504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTIER",
        "first_name": "RICHARD",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-3124",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "TN",
            "license": "59053",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "AL",
            "license": "41359",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.41359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.