Individual provider Active NPI

Javirous Devontay Grant

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1881435113
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2854 Issued in AL
Practice address
3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339-2066
Phone
(334) 221-8808
NPI assigned
Jun 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2854 AL Primary

Addresses

Primary practice location

3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339-2066

Mailing address

3164 Partridge Rd
Montgomery, AL 36111-3022
Phone (334) 221-8808

Other practice location 1

7244 Halcyon Park Dr
Montgomery, AL 36117-7717
Phone (334) 401-2361

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1881435113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 PARTRIDGE RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361113022",
            "telephone_number": "334-221-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RIVERWOOD PKWY SE STE 1900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392066",
            "telephone_number": "334-221-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7244 Halcyon Park Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361177717",
            "country_code": "US",
            "telephone_number": "334-401-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JAVIROUS",
        "middle_name": "DEVONTAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.