Active NPI
Cody Ray Grant
- Certified Registered Nurse Anesthetist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 126162
- Practice address
- 4301 W Markham St
Little Rock, AR 72205-7101 - Phone
- (501) 686-7000
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 126162 | AR | Primary |
Addresses
Primary practice location
4301 W Markham St
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St
Little Rock, AR 72205-7101
Other practice location 1
6701 Highway 67
Benton, AR 72015-8909
Phone (501) 315-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190710001755 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3779818950 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Arkansas for Medical Sciences
Practice addresses (Care Compare)
4301 W Markam St
Little Rock, AR 72205-7101
Hospital & facility affiliations
- University of Arkansas Medical Sciences
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126162 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Gastro Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| St. Vincent Medical Group | Current | Accepting new patients | |
| Southern Regional Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000
500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101
1024 N University Ave
Little Rock, AR 72207
Phone (501) 537-0900
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888
405 N University Ave
Little Rock, AR 72205
Phone (501) 228-4445
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Little Rock, AR
- NPI 1366700890
AR, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Little Rock, AR
- NPI 1902231673
AR
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
AR
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Psychologist
- Little Rock, AR
- NPI 1114255353
-
- Durable Medical Equipment & Medical Supplies
- Little Rock, AR
- NPI 1275056004
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1972768596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-7000"
}
],
"practiceLocations": [
{
"address_1": "6701 Highway 67",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720158909",
"country_code": "US",
"telephone_number": "501-315-3344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "CODY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "126162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.