Dana Lanell Grant, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19338 Issued in MS

Practice address

1824 Hospital Dr
Jackson, MS 39204-3410

Phone

(601) 346-4586

Fax

(601) 346-4587

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jackson Pediatric Associates

  • Specialist
  • Ridgeland, MS
  • NPI 1457484594
  NPD (past)
• Jackson Pediatric Associates P a

  • Specialist
  • Jackson, MS
  • NPI 1659556298
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1881759702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 HIGHWAY 51 STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573423",
            "telephone_number": "601-707-5381",
            "fax_number": "601-707-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 HOSPITAL DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043410",
            "telephone_number": "601-346-4586",
            "fax_number": "601-346-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "DANA",
        "middle_name": "LANELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "19338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05025008",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kecia Graham
• Pamela Dianne Graham, MD
• Melissa Allene Graig, RN
• Mindy Williamson Granger
• Susan L Graning, CRNA
• Janie Mae Grant, RN
• Olivia Harlan Grant, MD
• Tiffani L Grant, LD
• Scotty W. Grantham, R.P.T.
• Grassroots Therapy Solutions LLC

• Pediatrics Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.