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GRANT MEDLOCK
NPI 1003391145
Home Health in Saint Petersburg, FL

Active since September 25, 2018
2498 LYNN LAKE CIR S, SAINT PETERSBURG, FL 33712(913) 553-9394 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grant Medlock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT MEDLOCK (NPI 1003391145) is an individual home health provider in Saint Petersburg, Florida and active in the NPI registry since September 2018. He maintains a secondary practice location in Saint Petersburg.

NPPES Registry Identity

NPI1003391145
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameGRANT MEDLOCK
Location Address2498 LYNN LAKE CIR SSaint Petersburg, FL 33712-6117
Mailing Address2498 Lynn Lake Cir SSaint Petersburg, FL 33712-6117 · (913) 553-9394
Phone(913) 553-9394
Sole ProprietorYes
Enumeration DateSeptember 25, 2018
✔ NPI 1003391145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2498 LYNN LAKE CIR S, Saint Petersburg, FL 33712
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Secondary Practice Location 1

Location 12498 Lynn Lake Cir SSaint Petersburg, FL 33712-6117 · Phone (913) 553-9394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Medlock's NPI number?

The NPI number for Grant Medlock is 1003391145. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Grant Medlock located?

Grant Medlock practices at 2498 Lynn Lake Cir S, Saint Petersburg, FL 33712. The listed phone number is (913) 553-9394.

What is Grant Medlock's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Grant Medlock was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.