Organization Active NPI

Michelle R. Grana, DO; PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Huntsville, AL
National Provider Identifier
1750837068
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
MICHELLE R. GRANA, DO; PC
Practice address
470 Providence Main St NW Ste 302a
Huntsville, AL 35806-4843
Phone
(256) 429-2212
Fax
(256) 867-0995
NPI assigned
Aug 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Dr. Michelle R Grana, DO
Title
President
Phone
(256) 429-2212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

470 Providence Main St NW Ste 302a
Huntsville, AL 35806-4843

Mailing address

470 Providence Main St NW Ste 302a
Huntsville, AL 35806-4843
Phone (256) 429-2212

National Provider Directory

National Provider Directory

Locations

1207 E Forrest St
Ste D230
Athens, AL 35613

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1750837068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PROVIDENCE MAIN ST NW STE 302A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064843",
            "telephone_number": "256-429-2212",
            "fax_number": "256-867-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PROVIDENCE MAIN ST NW STE 302A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064843",
            "telephone_number": "256-429-2212",
            "fax_number": "256-867-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE R. GRANA, DO; PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "GRANA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-429-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.