Grant Park Family Health Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRANT PARK FAMILY HEALTH CENTER, INC.

Practice address

1340 Boulevard SE
Atlanta, GA 30315-3016

Phone

(404) 627-4259

Fax

(404) 624-5795

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terry W. Wood, M.D.NPI 1316904220

Title

Director

Phone

(404) 627-4259

Specialties & licenses 1

Addresses

Other names 1

• Grant Park Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Terry W. Wood, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1316904220
  NPD (past) Authorized official
• Janice W. Johnston, M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1548200793
  NPD (past)
• Deborah S. Lee, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1750390126
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871669358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BOULEVARD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303153016",
            "telephone_number": "404-627-4259",
            "fax_number": "404-624-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BOULEVARD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303153016",
            "telephone_number": "404-627-4259",
            "fax_number": "404-624-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT PARK FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-627-4259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Park Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Michael Gransbach, DNP, APRN, PMHNP-BC
• Francesca Gransberry
• Grant Medical Consulting LLC
• Grant Park Counseling Group, LLC
• Grant Park Dental Group PC
• Robyn Grant-Perez
• Adelaide Grant
• Alaina Michelle Grant, FNP-C
• Amy Grant, FNP
• Bradford Zachary Grant

• Primary Care Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.