NPIMap

Organization Active NPI

Granville Health Inc.

Doing business as Granville ENT

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Oxford, NC
National Provider Identifier
1730639394
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
GRANVILLE HEALTH INC.
Doing business as
Granville ENT
Practice address
102 Professional Park
Suite C
Oxford, NC 27565-2501
Phone
(919) 692-0003
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Jamie Purvis
Title
Cfo
Phone
(919) 690-3237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

102 Professional Park
Suite C
Oxford, NC 27565-2501

Mailing address

102 Professional Park
Suite C
Oxford, NC 27565-2501
Phone (919) 692-0003

Other names 1

  • Granville ENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Granville Health Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1730639394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK",
            "address_2": "SUITE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652501",
            "telephone_number": "919-692-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK",
            "address_2": "SUITE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652501",
            "telephone_number": "919-692-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-690-3237"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granville ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.