1. Home
  2. Directory
  3. Alabama
  4. Dothan
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

JARED MCKINLEY GRANTHAM CRNA
NPI 1134464506
Nurse Anesthetist, Certified Registered in Dothan, AL

Active since December 11, 2012Accepts Medicare Assignment
1108 ROSS CLARK CIR, DOTHAN, AL 36301(334) 793-8087(334) 793-8191 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jared Mckinley Grantham Crna NPPES

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

JARED MCKINLEY GRANTHAM CRNA (NPI 1134464506) is an individual nurse anesthetist, certified registered in Dothan, Alabama, licensed in Alabama (1-137611) and active in the NPI registry since December 2012. He is affiliated with Doctors Memorial Hospital and is a graduate of Other (2012).

NPPES Registry Identity

NPI1134464506
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJARED MCKINLEY GRANTHAMCredential: CRNA
Location Address1108 ROSS CLARK CIRDothan, AL 36301-3022
Mailing AddressPo Box 1928Dothan, AL 36302-1928 · (334) 793-8087 · Fax (334) 793-8191
Phone(334) 793-8087
Fax(334) 793-8191
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 11, 2012
✔ NPI 1134464506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 1-137611
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1108 ROSS CLARK CIR, Dothan, AL 36301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Mckinley Grantham Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193979573
PECOS Enrollment IDI20180316001671

Medicare Billing Reassignments

2

Medicare enrollment records show Jared Grantham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Florida Healthcare, Inc
33 mi
Critical Access
1360 BRICKYARD RD
Chipley, FL 32428
  • Reassigned Medicare billing, Florida enrollment
  • 66 clinicians in this Medicare group
NPI 1336163708 (850) 638-1610
Holmes County Hospital Corp
37 mi
Rural Health
2910 HOSPITAL DR STE A
Bonifay, FL 32425
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1952917015 (850) 547-8158

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Memorial Hospital

Critical Access Hospitals · Bonifay, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101307
Location2600 Hospital DrBonifay, FL 32425 · Holmes County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DAVID TYLER WARREN M.D.
Anesthesiology
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-5105
GINA L SEARCY CRNA
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8087
HOUSTON COUNTY HEALTHCARE AUTHORITY
Psychiatric Unit
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111
DENNIS MORRISON CRNA
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8087
SAEEDA K. MALIK MD
Psychiatry & Neurology (Neurology)
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8870
MR. PATRICK FRANCIS LUX CRNA
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8765
D'ANGELEAU NEWSOME DO
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111
SAEGE HENRY JOHNSON
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111

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 Jared Grantham's NPI number?

The NPI number for Jared Grantham is 1134464506. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Jared Grantham located?

Jared Grantham practices at 1108 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 793-8087.

What is Jared Grantham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jared Grantham enrolled in Medicare?

Yes. Jared Grantham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jared Grantham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Grantham reassigns Medicare benefits to 2 organizations: Northwest Florida Healthcare, Inc (Chipley, FL) and Holmes County Hospital Corp (Bonifay, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Grantham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jared Grantham affiliated with any hospitals?

According to CMS data, Jared Grantham is affiliated with Doctors Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jared Grantham was last updated on December 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.