MR. GRANWEL GENIO ESTEBAN JR. PA
NPI 1336195973
Physician Assistant in Athens, TN

Q: What is Granwel Esteban's NPI number?

The NPI number for Granwel Esteban is 1336195973. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Granwel Esteban's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Granwel Esteban was last updated on July 28, 2021. 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.

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment

1114 W MADISON AVE, ATHENS, TN 37303(423) 745-1411(865) 539-8008 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2021, Mar 17, 2018, Aug 28, 2017 (3 updates tracked since 2017).

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About Mr. Granwel Genio Esteban Jr. Pa NPPES

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

MR. GRANWEL GENIO ESTEBAN JR. PA (NPI 1336195973) is an individual physician assistant in Athens, Tennessee, licensed in Tennessee (PA1004) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336195973

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. GRANWEL GENIO ESTEBAN JR.Credential: PA

Location Address1114 W MADISON AVEAthens, TN 37303-4150

Mailing AddressPo Box 634760Cincinnati, OH 45263-0001

Phone(423) 745-1411

Fax(865) 539-8008

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 25, 2006

Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration

NPPES CertifiedJuly 28, 2021

✔ NPI 1336195973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TN · PA1004✔ Licensed in NY · 02673-01

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1114 W MADISON AVE, Athens, TN 37303

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Secondary Practice Locations 2

Location 1410 N State Of Franklin Rd Ste 135Johnson City, TN 37604-6972 · Phone (423) 431-2350 · Fax (423) 431-2372

Location 2410 N State Of Franklin Rd Ste 130Johnson City, TN 37604-6972 · Phone (423) 431-2477 · Fax (423) 431-2478

Other Identifiers 5

Medicaid587885291AGA

Other4061134TN · Blue Cross

Medicaid891012540AL

Medicaid009941923AL

OtherP00001071TN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Granwel Genio Esteban Jr. Pa 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 ID4789598160

PECOS Enrollment IDI20090914000154, I20210802001507

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330047

Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37303 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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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.

LAURA LEAH MCLEOD M.D.

Radiology (Diagnostic Radiology)