| James W Grant, MD | |
|
91 Enterprise Dr, Rocky Mount, NC 27804-9590 | |
| (252) 451-3100 | |
| (252) 937-3106 |
| Full Name | James W Grant |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 91 Enterprise Dr, Rocky Mount, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154315893 | NPI | - | NPPES |
| 1563457 | Other | NC | CIGNA HEALTHCARE |
| 259126 | Other | NC | UNITED HEALTH CARE |
| 7936770 | Medicaid | NC | |
| 36770 | Other | NC | BCBSNC |
| 370007244 | Other | NC | RAILROAD MEDICARE |
| 5541070 | Other | NC | AETNA |
| 66487 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 26825 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 26825 (North Carolina) | Primary |
| Entity Name | Nash Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972837961 PECOS PAC ID: 4284521568 Enrollment ID: O20040717000076 |
| Mailing Address | Practice Location Address |
|---|---|
| James W Grant, MD Po Box 7200, Rocky Mount, NC 27804-0200 Ph: (252) 937-0200 | James W Grant, MD 91 Enterprise Dr, Rocky Mount, NC 27804-9590 Ph: (252) 451-3100 |
Dr. Sharon Denise Romney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 210 E Thomas St, Rocky Mount, NC 27801 Phone: 252-210-9330 Fax: 252-210-9328 | |
Dr. Luisa Fernanda Gonzalez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-937-3106 | |
David S Brantley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-937-3106 | |
Susan L Church, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Nash Medical Arts Mall, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-451-3141 | |
Vasanth B Baliga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-937-3106 | |
Lisa Bellofiore-plonski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-937-3106 |