Organization
JERRY H GRANT, M.D., P.A.
Active
Organization
JERRY H GRANT, M.D., P.A.
Active
Other names
GrantMED
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY HENRY GRANT M.D. (OWNER/PHYSICIAN)
(870) 862-2285
Entity
Organization
Contact information
Practice address
104 E GROVE ST, EL DORADO, AR 71730
(870) 862-2285
(870) 862-2289
Mailing address
104 E GROVE ST, EL DORADO, AR 71730-4607
(870) 862-2285
(870) 862-2289
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E-0952
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080128979
RAILROAD MEDICARE
AR
05
—
130237001
—
AR
Enumeration date
12/07/2010
Last updated
08/07/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up