Hannah Grandgeorge, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17949 Issued in TX

Practice address

1111 W Frank Ave
Lufkin, TX 75904-3303

Phone

(936) 631-6777

NPI assigned

Mar 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• Sabine County Hospital Hospital, Hemphill, TX, CCN 451361
• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hgrandgeorge456737@direct.stlukeshealth.org

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.

• Baylor St. Luke's Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879
  Medicare reassignment Care Compare group
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1851756654
  NPD
• Memorial Multispecialty Associates

  dba Baylor St. Luke's Medical Group - Urgent Care

  • Urgent Care Clinic/Center
  • The Woodlands, TX
  • NPI 1295789337
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health System of East Texas

  dba CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  dba Woodland Heights Medical Center

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation
• Preferred Hospital Leasing Hemphill, Inc

  dba Sabine County Hospital

  • Critical Access Hospital
  • Hemphill, TX
  • NPI 1932379856
  Care Compare affiliation

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1871344903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 CARRELL RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014768",
            "telephone_number": "936-240-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-631-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDGEORGE",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ervin Goodrum, PHARMD
• Talisha J Goolsby, RN
• Selestine King Goss
• Grace Counseling, PLLC
• Grace Family Health LLC
• Cristina M Graves, MD
• Allison Taylor Gray
• Amber Gray
• Morgan Grebe
• Jenny Leigh Green, M.ED., BCBA

• Physician Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.