Madeline Beth Grant, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5021730 Issued in NC

Practice address

1616 E Millbrook Rd
Raleigh, NC 27609-4968

Phone

(984) 217-3193

NPI assigned

Feb 27, 2025

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

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dispatchhealth PCGroup PAC ID 2961815295, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madeline.grant.1@13869.direct.athenahealth.com

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.

• Dispatchhealth, PC

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1932714284
  Medicare reassignment Care Compare group NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1093343501
  NPD

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1972300895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 GARDEN PASSAGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276049708",
            "telephone_number": "703-987-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094968",
            "telephone_number": "984-217-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MADELINE",
        "middle_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Adraine Grant, MS
• Devin Kyle Grant, D.P.M.
• Edrina Charlura Grant, NP
• Hugh Judd Grant Jr., MD
• Jetta Capri Grant, LCSWA
• Sara Laurene Grant, PA-C
• Stephanie Grant
• Tanya Parrish Grant
• Tierra Leah Grant
• William Grant Jr., MD

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.