Individual provider Active NPI

Devin Kyle Grant, D.P.M.

  • Podiatrist
  • Raleigh, NC
National Provider Identifier
1770838187
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00361 Issued in NC
Practice address
1418 E Millbrook Rd
Raleigh, NC 27609-4812
Phone
(919) 850-9111
NPI assigned
Jul 23, 2012
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917002937 NC Practitioner - Podiatry 1052628393 Reassigns benefits to 1 organization

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 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue143
Removal of skin lesions489
Removal of nail tissue23
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 2, 2019 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 2, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.