NPIMap

Individual provider Active NPI

Eric T Grant, PA-C

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1801082730
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07923 Issued in NC
Practice address
2900 1St Ave
Huntington, WV 25702-1241
Phone
(304) 526-1111
NPI assigned
Sep 25, 2007
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07923 NC Primary
Medical Physician Assistant 363AM0700X 0010-07923 NC
Medical Physician Assistant 363AM0700X 01295 WV

Addresses

Primary practice location

2900 1St Ave
Huntington, WV 25702-1241

Mailing address

1705 Tarboro St SW
Wilson, NC 27893-3437
Phone (252) 399-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180402000088 NC Practitioner - Physician Assistant 3971690843 Reassigns benefits to 3 organizations
I20240905001081 MT Practitioner - Physician Assistant 3971690843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Family ClinicGroup PAC ID 7810989506, 14 clinicians
Wolf Point Clinic Association IncGroup PAC ID 3678546660, 17 clinicians

Practice addresses (Care Compare)

209 /2 H St
Poplar, MT 59255-9519
Phone (406) 768-5171

209 /2 St E
Poplar, MT 59255-9519

301 Knapp St
Wolf Point, MT 59201-1826
Phone (406) 653-6437

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-07923NCMDPhysician Assistant
0010-00193NCMDMedical Physician Assistant
01295WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Physician Assistant Past Accepting new patients
Northeast Montana Health Services, Inc. Past Accepting new patients
River Valley Emergency Physicians, Inc Physician Assistant Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Northeast Montana Health Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: egrant531227@direct.unc.nchie.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac22fd4c-796d-4bb8-9292-da1e40231549/

Organizations & group practices 10

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 10

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1801082730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 TARBORO ST SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933437",
            "telephone_number": "252-399-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-526-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ERIC",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07923",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-07923",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.