Active NPI
Generations Visiting Practitioners LLC
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1932593530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1003981242
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1851502629
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1225236888
-
- Family Nurse Practitioner
- Fredericksburg, TX
- NPI 1508548678
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.