Organization Active NPI

Generations Visiting Practitioners LLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1932593530
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENERATIONS VISITING PRACTITIONERS LLC
Practice address
4400 NW Loop 410 Ste 115
San Antonio, TX 78229-5170
Phone
(210) 598-8035
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
James Albert Grismore
Title
Owner
Phone
(210) 598-8035

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X TX

Addresses

Primary practice location

4400 NW Loop 410 Ste 115
San Antonio, TX 78229-5170

Mailing address

4400 NW Loop 410 Ste 115
San Antonio, TX 78229-5170
Phone (210) 598-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150424001589 TX Part B Supplier - Clinic/Group Practice 6800115841 Receives reassigned benefits from 4 practitioners
Practice locations: San Antonio, TX; Three Rivers, TX; Austin, TX

National Provider Directory

National Provider Directory

Locations

7703 N Lamar Blvd
Ste 160
Austin, TX 78752
Phone (737) 240-3003

2819 NW Loop 410
Ste A
San Antonio, TX 78230
Phone (210) 422-3330

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1932593530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NW LOOP 410 STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295170",
            "telephone_number": "210-598-8035",
            "fax_number": "210-888-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NW LOOP 410 STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295170",
            "telephone_number": "210-598-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS VISITING PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "GRISMORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-598-8035"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.