Gordon Gregory Grant IV, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1397 Issued in LA

Practice address

3219 Hwy 165 N
Monroe, LA 71203-2519

Phone

(318) 387-5388

Fax

(318) 325-9882

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shell Chiropractic, LLCGroup PAC ID 1658502281, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shell Chiropractic, LLC

  dba Shell Family Chiropractic

  • Chiropractor
  • Monroe, LA
  • NPI 1326142621
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750485041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 HWY 165 N",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032519",
            "telephone_number": "318-387-5388",
            "fax_number": "318-325-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 HWY 165 N",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032519",
            "telephone_number": "318-387-5388",
            "fax_number": "318-325-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "GORDON",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracious Services, Inc
• Flor De Maria Grados Valderrama, M.D.
• Yolanda Grady
• Erica Graham, SLP
• Granberry Counseling Center
• Hailey Graves
• Kaitlin Graves, LMSW
• White S Graves, D.O.
• White Solomon Graves IV, M.D.
• Gray Pharm Inc (Medicine Shoppe)

• Chiropractor in Monroe, LA
• Providers in Monroe, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.