Individual provider Active NPI

Magan Reedy Grigg, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1891191037
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
031893 Issued in NY
Practice address
105 Canal Landing Blvd Ste 1
Rochester, NY 14626-5107
Phone
(585) 368-4050
NPI assigned
Nov 17, 2014
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005377 CO
Physician Assistant 363A00000X 0010-05292 NC
Physician Assistant 363A00000X 7921 GA
Physician Assistant 363A00000X 2198 SC
Physician Assistant 363A00000X 031893 NY Primary
Medical Physician Assistant 363AM0700X PA.0005377 CO
Medical Physician Assistant 363AM0700X 0010-05292 NC
Medical Physician Assistant 363AM0700X 2198 SC

Addresses

Primary practice location

105 Canal Landing Blvd Ste 1
Rochester, NY 14626-5107

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

701 N Circle Dr
Colorado Springs, CO 80909-5121
Phone (803) 548-7007

Other practice location 2

3245 E US Highway 50 Unit E
Canon City, CO 81212-9343
Phone (719) 285-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180611002416 CO Practitioner - Physician Assistant 5294056495
I20241018000955 NY Practitioner - Physician Assistant 5294056495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Medical of New York PCGroup PAC ID 8820563513, 4 clinicians

Practice addresses (Care Compare)

1230 Hempstead Tpke
Franklin Square, NY 11010-1534
Phone (888) 432-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007921GAMDNeurology Physician
7921GAMDPhysician Assistant
PA.0005377COMDMedical Physician Assistant
0010-05292NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Sep 23, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 23, 2024 Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

105 Canal Landing Blvd
Ste 1
Rochester, NY 14626
Phone (585) 368-4050

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: magan.grigg.1@21306.direct.athenahealth.com
  • Direct secure messaging: magan.grigg@4137.securemail.prognocis.com
  • Direct secure messaging: mgrigg401270@direct.rochesterregional.org

Organizations & group practices 5

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": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1891191037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CANAL LANDING BLVD STE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265107",
            "telephone_number": "585-368-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095121",
            "country_code": "US",
            "telephone_number": "803-548-7007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3245 E US Highway 50 Unit E",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812129343",
            "country_code": "US",
            "telephone_number": "719-285-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "MAGAN",
        "middle_name": "REEDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005377",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05292",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7921",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2198",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031893",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005377",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05292",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.