Grady C Horn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66876 Issued in TX

Practice address

105 Wildwood Dr Ste 105
Georgetown, TX 78633-1344

Phone

(512) 763-4060

Fax

(512) 763-4088

NPI assigned

Mar 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Mpac Texas, PLLCGroup PAC ID 9133607773, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4

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.

• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  Clinical, TX

  Medicare reassignment Care Compare group NPD
• Mpac Texas, PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1215813910

  TX

  Medicare reassignment Care Compare group
• Capital Area Primary Care, PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1023287976
  NPD
• St Davids Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1700887700
  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1962262964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WILDWOOD DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331344",
            "telephone_number": "512-763-4060",
            "fax_number": "512-763-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WILDWOOD DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331344",
            "telephone_number": "512-763-4060",
            "fax_number": "512-763-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "GRADY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Holtzman, APN
• Emily Hooker
• Reyanne Michelle Hord, PHARMD
• Horizon Dental Care
• Horizon Dental Enterprises, PLLC
• Pamela Horton, PHD
• Doris Eileen Hossalla, MD
• Nova Brook Houlihan, DO
• Martha A. House, OTR
• Kim Thinh Hovanky, M.D.

• Clinical Social Worker in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.