Active NPI
Pearline Barbara Grant, M.D.
- Family Medicine Physician
- Bladenboro, NC
National Provider Identifier
1730314550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009-02053
- Practice address
- 106 4TH Street
Bladenboro, NC 28320-0517 - Phone
- (910) 863-3138
- Fax
- (910) 863-3597
- NPI assigned
- May 22, 2009
- Last updated
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | 063202 | GA | |
| Family Medicine Physician | 207Q00000X | 2009-02053 | NC | Primary |
Addresses
Primary practice location
106 4TH Street
Bladenboro, NC 28320-0517
Mailing address
300 E McKay St
P.O. Box 517
Elizabethtown, NC 28337-9037
Phone (910) 862-5153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913594 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-02053 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bladen Healthcare, LLC | Past | Accepting new patients | |
| Bladen Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Cape Fear Valley Bladen County Hospital
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
dba Cape Fear Valley Bladen Women's Health Specialists
- Obstetrics & Gynecology Physician
- Elizabethtown, NC
- NPI 1477729952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1730314550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCKAY ST",
"address_2": "P.O. BOX 517",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283379037",
"telephone_number": "910-862-5153",
"fax_number": "910-862-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 4TH STREET",
"city": "BLADENBORO",
"state": "NC",
"postal_code": "283200517",
"telephone_number": "910-863-3138",
"fax_number": "910-863-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "PEARLINE",
"middle_name": "BARBARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "063202",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2009-02053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913594",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bladenboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.