Michelle Julittee Grant

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023209862 Issued in SC

Practice address

13430 Hoover Creek Blvd
Charlotte, NC 28273-0054

Phone

(480) 848-7172

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

Yes

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Charlotte General and Vascular Surgery PLLCGroup PAC ID 9830371095, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Charlotte General and Vascular Surgery PLLC

  • Surgery Physician
  • Charlotte, NC
  • NPI 1144524190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1982440012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NOTABLE LN",
            "address_2": "EBENEZER VILLAGE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328331",
            "telephone_number": "803-833-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 HOOVER CREEK BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730054",
            "telephone_number": "480-848-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MICHELLE",
        "middle_name": "JULITTEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2023209862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Grant, PT, SCS, LAT, ATC
• Makayla Grant
• Maria Janae Grant
• Marissa Carey Grant, MA, LCMHCA, NCC
• Micheala Keisha Grant, LMT
• Shelby Paige Grant, FNP-BC
• Kelly D Grantham, OTR/L
• Graper Cosmetic Surgery
• Robert Gordon Graper, MD
• Lauren Reddy Grappone, PTA

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, 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 Aug 30, 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.