Individual provider Active NPI

Edrina Charlura Grant, NP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1982086351
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007691 Issued in NC
Practice address
250 Hospice Cir
Raleigh, NC 27607-6372
Phone
(919) 828-0890
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007691 NC Primary

Addresses

Primary practice location

250 Hospice Cir
Raleigh, NC 27607-6372

Mailing address

250 Hospice Cir
Raleigh, NC 27607-6372
Phone (919) 828-0890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150930000724 NC Practitioner - Nurse Practitioner 9739497454 Reassigns benefits to 3 organizations
I20231030000147 VA Practitioner - Nurse Practitioner 9739497454 Reassigns benefits to 1 organization
I20231205003102 NY Practitioner - Nurse Practitioner 9739497454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007691NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Value Care, LLC CurrentSince Oct 15, 2025 Accepting new patients
Eventus WH Southeast, LLC CurrentSince Jun 3, 2025 Accepting new patients
Eventus Wholehealth, PLLC Family CurrentSince Jun 3, 2025 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1982086351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPICE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076372",
            "telephone_number": "919-828-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPICE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076372",
            "telephone_number": "919-828-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "EDRINA",
        "middle_name": "CHARLURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.