NPIMap

Individual provider Active NPI

Grant Alan Skidmore, M.D.

  • Neurological Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1972502466
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101052264 Issued in VA
Practice address
300 Medical Pkwy Ste 200
Chesapeake, VA 23320-4985
Phone
(757) 625-4455
Fax
(757) 625-1829
NPI assigned
Jul 18, 2005
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0101052264 VA Primary

Addresses

Primary practice location

300 Medical Pkwy Ste 200
Chesapeake, VA 23320-4985

Mailing address

300 Medical Pkwy Ste 200
Chesapeake, VA 23320-4985
Phone (757) 625-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000593 VA Practitioner - Neurosurgery 3779607551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Arkansas College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Specialists IncGroup PAC ID 6204824816, 3 clinicians
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

300 Medical Pkwy
Suite 200
Chesapeake, VA 23320-4985
Phone (757) 625-4455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.65 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion227
Laminectomy or laminotomy (partial removal of spine bones)89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101052264VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Nov 1, 2025 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Nov 1, 2025 Accepting new patients
Neurosurgical Specialists, Inc. Neurological Surgery CurrentSince Jul 1, 1995 Accepting new patients

Locations

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

300 Medical Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 625-4455

6261 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 625-4455

Interoperability endpoints

  • Direct secure messaging: grant.skidmore.1@5072.direct.athenahealth.com
  • Direct secure messaging: gskidmore@nsinc.directbygreenway.com
  • Direct secure messaging: gskidmore@nsinc.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/8345/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73221

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1972502466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-625-4455",
            "fax_number": "757-625-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-625-4455",
            "fax_number": "757-625-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "GRANT",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101052264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.