Individual provider Active NPI

Carol R Grant, MD LLC

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1861557928
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 071569 Issued in FL
Practice address
10743 Narcoossee Rd
Ste# A8-208
Orlando, FL 32832-6944
Phone
(407) 592-1550
NPI assigned
Dec 27, 2006
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 071569 FL Primary
Occupational Medicine Physician 2083X0100X ME71569 FL

Addresses

Primary practice location

10743 Narcoossee Rd
Ste# A8-208
Orlando, FL 32832-6944

Mailing address

10743 Narcoossee Rd
Ste# A8-208
Orlando, FL 32832-6944
Phone (407) 592-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 071569FLMDInternal Medicine Physician
ME71569FLMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc Past Accepting new patients
Coastal Care Corporation Past Accepting new patients
Carol Grant MD LLC PastSince Mar 1, 2010 Accepting new patients
Martin Memorial Physician Corporation Inc PastSince Apr 1, 2004 Accepting new patients
Hialeah Health Center Inc Past Accepting new patients
Advanced Pain Clinic PA Past Accepting new patients
Inphynet South Broward LLC Past Accepting new patients
Osceola Mediclinic Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1861557928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD",
            "address_2": "STE# A8-208",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326944",
            "telephone_number": "407-592-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD",
            "address_2": "STE# A8-208",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326944",
            "telephone_number": "407-592-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CAROL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 071569",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME71569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.