Individual provider Active NPI

Lisa Marie Grant-McDonald, DPM

  • Foot & Ankle Surgery Podiatrist
  • Stafford, VA
National Provider Identifier
1831509942
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301228 Issued in VA
Practice address
90 Greenspring Dr
Stafford, VA 22554-1752
Phone
(540) 373-4602
NPI assigned
Apr 29, 2014
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301228 VA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006593 PA

Addresses

Primary practice location

90 Greenspring Dr
Stafford, VA 22554-1752

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940

Other practice location 1

4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-7575

Other practice location 2

1301 Sam Perry Blvd Ste 200
Fredericksburg, VA 22401-8420
Phone (540) 373-4602

Other practice location 3

9530 Cosner Dr Ste 101
Fredericksburg, VA 22408-7760
Phone (540) 373-4602

Other practice location 4

4710 Spotsylvania Pkwy Ste 101
Fredericksburg, VA 22407-9433
Phone (540) 373-4602

Other names 1

  • Lisa Marie Grant-McDonald Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180604002623 VA Practitioner - Podiatry 7517243892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Foot and Ankle Center PCGroup PAC ID 5496717100, 2 clinicians

Practice addresses (Care Compare)

760 Independence Blvd
Suite 1
Virginia Beach, VA 23455-6206
Phone (757) 497-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.14 of 100Reported as individual
Quality
46.96
Promoting interoperability
60
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision27
Removal of tissue399
Removal of skin lesions54
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
Tidewater Foot & Ankle Center, PC Foot & Ankle Surgery CurrentSince Apr 3, 2018 Accepting new patients

Locations

760 Independence Blvd
Ste 1
Virginia Beach, VA 23455
Phone (757) 497-7575

Organizations & group practices 1

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 6

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1831509942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GREENSPRING DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541752",
            "telephone_number": "540-373-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Friendship Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241722",
            "country_code": "US",
            "telephone_number": "412-578-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Sam Perry Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018420",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9530 Cosner Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224087760",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 Spotsylvania Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224079433",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT-MCDONALD",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301228",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GRANT-MCDONALD",
            "middle_name": "MARIE",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.