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GREY CANYON FAMILY MEDICINE PA
NPI 1043391121
Family Medicine in San Antonio, TX

Active since October 17, 2006CLIA 45D1064680 · Waiver
20658 STONE OAK PKWY, STE 108, SAN ANTONIO, TX 78258(210) 615-9990(210) 615-9909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Grey Canyon Family Medicine Pa NPPES

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

GREY CANYON FAMILY MEDICINE PA (NPI 1043391121) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Brian K Macgillivray, Owner, as its authorized official.

NPPES Registry Identity

NPI1043391121
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREY CANYON FAMILY MEDICINE PA
Location Address20658 STONE OAK PKWY, STE 108San Antonio, TX 78258
Mailing Address20658 Stone Oak Pkwy, Ste 108San Antonio, TX 78258 · (210) 615-9990 · Fax (210) 615-9909
Phone(210) 615-9990
Fax(210) 615-9909
Organization SubpartNo
Authorized OfficialBrian K MacgillivrayOwner · (210) 615-9990
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1043391121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M3304
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20658 STONE OAK PKWY, San Antonio, TX 78258
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1064680

Grey Canyon Family Medicine PA · San Antonio, TX
Active · expires Feb 11, 2027
CLIA Number45D1064680
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorBrian K. Macgillivray
Laboratory Phone(210) 447-9275
Laboratory LocationGrey Canyon Family Medicine PA19054 Stone Oak Parkway , Ste 102, San Antonio, TX 78258
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMEY VANCURA FNP
Nurse Practitioner (Family)
20658 STONE OAK PKWY
SAN ANTONIO, TX 78258
Bexar County (210) 403-3220
CENTRUS HEALTHCARE LLC
Internal Medicine
20658 STONE OAK PKWY, #108
SAN ANTONIO, TX 78258
Bexar County (888) 220-4915
JENNIFER BRINER FNP-C
Nurse Practitioner
20658 STONE OAK PKWY, SUITE 108
SAN ANTONIO, TX 78258
Bexar County (210) 403-3220
DR. ALEXANDER SANDOR ROKA M.D., P.A.
Family Medicine
20658 STONE OAK PKWY, STE. 108
SAN ANTONIO, TX 78258
Bexar County (210) 403-3220

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 Grey Canyon Family Medicine PA's NPI number?

The NPI number for Grey Canyon Family Medicine PA is 1043391121. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Grey Canyon Family Medicine PA located?

Grey Canyon Family Medicine PA is located at 20658 Stone Oak Pkwy Ste 108, San Antonio, TX 78258. The listed phone number is (210) 615-9990.

What is Grey Canyon Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Grey Canyon Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1064680) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grey Canyon Family Medicine PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.