R Peery Grant MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10945 Issued in GA

Legal business name

R PEERY GRANT MD PC

Practice address

1493 Lavista Road NE
Atlanta, GA 30324-3846

Phone

(404) 325-5733

Fax

(404) 325-5733

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Ralph Perry Grant, MDNPI 1730396847

Title

President

Phone

(404) 325-5733

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Peery Grant, MD

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1730396847
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1841489127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 LAVISTA ROAD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243846",
            "telephone_number": "404-325-5733",
            "fax_number": "404-325-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 LAVISTA ROAD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243846",
            "telephone_number": "404-325-5733",
            "fax_number": "404-325-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R PEERY GRANT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-325-5733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "10945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.