GRANVILLE FAMILY MEDICINE PA
NPI 1093713695
Family Medicine in Oxford, NC

Active since July 08, 2005
103 PROFESSIONAL PARK STE A, OXFORD, NC 27565(919) 693-7108(919) 693-9245 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Granville Family Medicine Pa NPPES

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

GRANVILLE FAMILY MEDICINE PA (NPI 1093713695) is a healthcare organization registered as a family medicine in Oxford, North Carolina and active in the NPI registry since July 2005. The organization lists Dennis Michael Mahan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093713695
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRANVILLE FAMILY MEDICINE PA
Location Address103 PROFESSIONAL PARK STE AOxford, NC 27565-2581
Mailing Address103 Professional Park Ste AOxford, NC 27565-2581 · (919) 693-7108 · Fax (919) 693-9245
Fax(919) 693-9245
Organization SubpartNo
Authorized OfficialDennis Michael MahanCeo · (919) 693-7108
Enumeration DateJuly 8, 2005
Last NPPES UpdateSeptember 15, 2014
NPI 1093713695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 25053
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.
Also ListedPediatricsTaxonomy 208000000X · License 25053 (NC)
103 PROFESSIONAL PARK STE A, Oxford, NC 27565

Other Identifiers 7

Other0171ANC · Bcbsnc
Medicare UPINC89071NC
Medicare ID-Type Unspecified2804606NC · Cigna Medicare
Medicaid343950ANC
Medicaid343950CNC
Medicare OSCAR/certification343950NC
Medicare ID-Type UnspecifiedCJ9291NC · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Orthopaedic Surgery
103 PROFESSIONAL PARK STE A
OXFORD, NC 27565
Orthopaedic Surgery
103 PROFESSIONAL PARK STE A
OXFORD, NC 27565
Orthopaedic Surgery
103 PROFESSIONAL PARK STE A
OXFORD, NC 27565
General Practice
103 PROFESSIONAL PARK STE A
OXFORD, NC 27565

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 Granville Family Medicine PA's NPI number?

The NPI number for Granville Family Medicine PA is 1093713695. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is Granville Family Medicine PA located?

Granville Family Medicine PA is located at 103 Professional Park Ste A, Oxford, NC 27565. The listed phone number is (919) 693-7108.

What is Granville Family Medicine PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Granville Family Medicine PA was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.