Larry Wells Grant, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

016802 Issued in GA

Practice address

350 Hospital Dr
Macon, GA 31217-3838

Phone

(478) 464-1326

Fax

(478) 464-1323

NPI assigned

Feb 26, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982730750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 BRAE BURN LN",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104710",
            "telephone_number": "478-474-8129",
            "fax_number": "478-464-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173838",
            "telephone_number": "478-464-1326",
            "fax_number": "478-464-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LARRY",
        "middle_name": "WELLS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "016802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Granger, DPT
• Granite Peak Emergency Physicians LLC
• Davina Shawnta Grant
• Edward Keith Grant, PA-C
• Frances Barnes Grant, MD
• Merveille N Grant
• Robert Grant
• Steven Grant
• Timothy M Grant, MD
• Vinessa Grant

• Pulmonary Disease Physician in Macon, GA
• Providers in Macon, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.