Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GRANVILLE HEALTH SYSTEM
NPI 1265430854
Clinic/Center - Rural Health in Creedmoor, NC

Active since July 08, 2005CLIA 34D0894096 · Microscopy
1614 NC HIGHWAY 56, CREEDMOOR, NC 27522(919) 575-6103(919) 575-6817 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, Oct 11, 2024, Nov 7, 2023 and 2 more (5 updates tracked since 2018).

About Granville Health System NPPES

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

GRANVILLE HEALTH SYSTEM (NPI 1265430854), doing business as South Granville Primary Care, is a healthcare organization registered as a rural health in Creedmoor, North Carolina and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through November 6, 2026 and lists Melanie Hobgood, Acting Ceo, as its authorized official.

NPPES Registry Identity

NPI1265430854
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRANVILLE HEALTH SYSTEM
Location Address1614 NC HIGHWAY 56Creedmoor, NC 27522-8297
Mailing AddressPo Box 986Oxford, NC 27565-0986 · (919) 575-6103 · Fax (919) 575-6817
Fax(919) 575-6817
Organization SubpartNo
Authorized OfficialMelanie HobgoodActing Ceo · (919) 690-3445
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1265430854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1614 NC HIGHWAY 56, Creedmoor, NC 27522

Other Names 1

Doing Business AsSouth Granville Primary Care

Other Identifiers 3

Medicaid344645ANC
Medicaid344645CNC
Other02578NC · Bcbsnc

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0894096

South Granville Primary Care · Creedmoor, NC
Active · expires Nov 6, 2026
CLIA Number34D0894096
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorJesse R. Byrd
Laboratory Phone(919) 575-6103
Laboratory LocationSouth Granville Primary Care1614 Hwy 56, Creedmoor, NC 27522
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

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

Family Medicine
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522
Family Medicine
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522
Nurse Practitioner (Family)
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522
Family Medicine
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522
Physician Assistant (Surgical)
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522
Nurse Practitioner (Family)
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522
Nurse Practitioner
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522
Durable Medical Equipment & Medical Supplies
1614 NC HIGHWAY 56
CREEDMOOR, NC 27522

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 Health System's NPI number?

The NPI number for Granville Health System is 1265430854. It was assigned to this organization in the NPPES registry on July 8, 2005. The provider is doing business as South Granville Primary Care.

Where is Granville Health System located?

Granville Health System is located at 1614 Nc Highway 56, Creedmoor, NC 27522. The listed phone number is (919) 575-6103.

What is Granville Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Granville Health System hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0894096) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Granville Health System accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Granville Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Granville Health System was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.