PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1255753380
Physical Medicine & Rehabilitation in Grants Pass, OR

Active since January 08, 2014
1619 NW HAWTHORNE AVE, SUITE 206, GRANTS PASS, OR 97526(541) 732-7850 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Feb 21, 2018 and 1 more (4 updates tracked since 2016).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1255753380), doing business as Providence Medical Group South, is a healthcare organization registered as a physical medicine & rehabilitation in Grants Pass, Oregon and active in the NPI registry since January 2014. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1255753380
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1619 NW HAWTHORNE AVE, SUITE 206Grants Pass, OR 97526-6008
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 732-7850 · Fax (541) 732-7851
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateJanuary 8, 2014
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1255753380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedClinic/CenterTaxonomy 261Q00000X
1619 NW HAWTHORNE AVE, Grants Pass, OR 97526

Other Names 1

Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500668065OR

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

181

Medicare enrollment records show 181 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner38
Internal Medicine22
Hospitalist21
Family Practice16
Obstetrics/Gynecology11
Pediatric Medicine11
Cardiovascular Disease (Cardiology)9
Clinical Psychologist9
13 other specialties44

Nearest to this location (20)

See all 181
Nurse Practitioner
NPI 1578918546
537 UNION AVE
Grants Pass, OR 97527
(541) 507-2170
✔ PECOS✔ Accepts Medicare2.6 mi
Obstetrics/Gynecology
NPI 1609118900
1075 SW GRANDVIEW AVE STE 200
Grants Pass, OR 97527
(541) 479-8363
✔ PECOS✔ Accepts Medicare2.8 mi
Pediatric Medicine
NPI 1962812594
700 SW RAMSEY AVE SUITE 204
Grants Pass, OR 97527
(541) 955-5683
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1194416701
393 W ANTELOPE RD
White City, OR 97503
(541) 600-4610
✔ PECOS✔ Accepts Medicare22 mi
Clinical Psychologist
NPI 1306652110
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1740538156
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1518435585
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1184719882
870 S FRONT ST
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1285996405
870 S FRONT ST SUITE 200
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1760259402
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1942396676
870 S FRONT ST SUITE 200
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1154795508
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare22 mi
Internal Medicine
NPI 1225778855
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1720647225
920 ROYAL AVE
Medford, OR 97504
(541) 732-8400
✔ PECOS✔ Accepts Medicare25 mi
Neurology
NPI 1770583338
920 ROYAL AVE
Medford, OR 97504
(541) 732-8400
✔ PECOS✔ Accepts Medicare25 mi
Pediatric Medicine
NPI 1134864564
840 ROYAL AVE STE 110
Medford, OR 97504
(541) 732-8370
✔ PECOS25 mi
Nurse Practitioner
NPI 1770033474
840 ROYAL AVE STE 110
Medford, OR 97504
(541) 732-8360
✔ PECOS25 mi
Infectious Disease
NPI 1730568080
1698 E MCANDREWS RD STE 160
Medford, OR 97504
(541) 732-6070
✔ PECOS✔ Accepts Medicare25 mi
Pulmonary Disease
NPI 1497840813
1698 E MCANDREWS RD SUITE 400
Medford, OR 97504
(541) 732-7960
✔ PECOS✔ Accepts Medicare25 mi
Obstetrics/Gynecology
NPI 1942697669
1698 E MCANDREWS RD STE 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare25 mi
See all 181 clinicians

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

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 Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1255753380. It was assigned to this organization in the NPPES registry on January 8, 2014. The provider is doing business as Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1619 NW Hawthorne Ave Suite 206, Grants Pass, OR 97526. The listed phone number is (541) 732-7850.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 21 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A 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 the clinician's services. The largest specialties are Nurse Practitioner (38), Internal Medicine (22) and Hospitalist (21). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.