Evan Michael Grant, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101250288 Issued in VA

Practice address

340 Bagley Cir
Southwestern Virginia Mental Health Institute
Marion, VA 24354-3126

Phone

(276) 783-1200

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwestern Virginia Mental Health Institute

  • Long Term Care Pharmacy
  • Marion, VA
  • NPI 1144283094
  NPD
• Southwestern Virginia Mental Health Institute

  • Hospitalist Physician
  • Marion, VA
  • NPI 1912964347
  NPD
• New River Service Authority

  dba New River Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1659532562
  NPD (past)
• New River Service Authority

  dba New River Behavioral Healthcare

  • Foster Care Agency
  • Boone, NC
  • NPI 1720360944
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1841409984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIR",
            "address_2": "SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIR",
            "address_2": "SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543126",
            "telephone_number": "276-783-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101250288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamelyn Gillespie, LMT
• George David Gilliam, D.D.S.
• Shelia Glenn, RPH
• Jeffrey Gordon, M.D.
• Kelly Leonhardt Gragg, OTR/L
• Sandra Grazulewicz, PA-C
• Hannah Green
• Brittany Samaniego Greer
• Hannah Nicole Greer
• Jennifer Dempsey Greer, LCSW

• Psychiatry Physician in Marion, VA
• Providers in Marion, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.