Individual provider Active NPI

Anna Grove, PA-C

  • Physician Assistant
  • Lawrenceville, GA
National Provider Identifier
1992699631
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13108 Issued in GA
Practice address
918 Duluth Hwy Ste B
Lawrenceville, GA 30043-5319
Phone
(470) 610-6165
NPI assigned
Jun 6, 2025
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13108 GA Primary

Addresses

Primary practice location

918 Duluth Hwy Ste B
Lawrenceville, GA 30043-5319

Mailing address

918 Duluth Hwy Ste B
Lawrenceville, GA 30043-5319
Phone (470) 610-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250612001496 GA Practitioner - Physician Assistant 6608386164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

1834 Clairmont Rd
Suite 100
Decatur, GA 30033-3405
Phone (404) 634-4443

3425 Buford Dr
Suite 200
Buford, GA 30519-8785
Phone (678) 546-0200

3551 Satellite Blvd
Duluth, GA 30096-4646
Phone (770) 476-3000

3720 Holcomb Bridge Rd
Norcross, GA 30092-4795
Phone (770) 263-1000

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

500 Great Oaks Dr
Suite 9
Monroe, GA 30655-8228
Phone (678) 905-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1992699631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 DULUTH HWY STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435319",
            "telephone_number": "470-610-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 DULUTH HWY STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435319",
            "telephone_number": "470-610-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.