Active NPI
Devin Kyle Grant, D.P.M.
- Podiatrist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00361
- Practice address
- 1418 E Millbrook Rd
Raleigh, NC 27609-4812 - Phone
- (919) 850-9111
- NPI assigned
- Jul 23, 2012
- Last updated
- Apr 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00361 | NC | Primary |
Addresses
Primary practice location
1418 E Millbrook Rd
Raleigh, NC 27609-4812
Mailing address
1600 E Gude Dr Ste 200
Rockville, MD 20850-1496
Phone (301) 933-7133
Other practice location 1
1004 Werrington Drive
Suite 300
Raleigh, NC 27540
Phone (919) 850-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1418 E Millbrook Rd
Raleigh, NC 27609-4812
Phone (919) 850-9111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 143 |
| Removal of skin lesions | 489 |
| Removal of nail tissue | 23 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
Locations
1600 E Gude Dr
Ste 200
Rockville, MD 20850
2315 Asheville Hwy
Ste 10
Hendersonvlle, NC 28791
Phone (828) 697-8686
1004 Werrington Dr
Ste 300
Holly Springs, NC 27540
Phone (919) 850-9111
1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111
3801 Wake Forest Rd
Raleigh, NC 27609
Phone (623) 522-8491
Interoperability endpoints
- dgrant566063@directhisp.wakemed.org
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.
-
- Podiatrist
- Raleigh, NC
- NPI 1073804712
-
- Podiatrist
- Concord, NC
- NPI 1255213997
Hospital & facility affiliations 1
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": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1770838187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E GUDE DR STE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501496",
"telephone_number": "301-933-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 E MILLBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094812",
"telephone_number": "919-850-9111"
}
],
"practiceLocations": [
{
"address_1": "1004 Werrington Drive",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "27540",
"country_code": "US",
"telephone_number": "919-850-9111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "DEVIN",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "00361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.