GRANTMED
NPI 1366745705
Clinic/Center in El Dorado, AR

Active since December 07, 2010
104 E GROVE ST, EL DORADO, AR 71730(870) 862-2285(870) 862-2289 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2019, Jun 10, 2019 (2 updates tracked since 2019).

About Grantmed NPPES

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

GRANTMED (NPI 1366745705) is a healthcare organization registered as a clinic/center in El Dorado, Arkansas and active in the NPI registry since December 2010. The organization maintains a secondary practice location in El Dorado and lists Jerry Henry Grant, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1366745705
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJERRY H GRANT, M.D., P.A.
Location Address104 E GROVE STEl Dorado, AR 71730
Mailing Address104 E Grove StEl Dorado, AR 71730-4607 · (870) 862-2285 · Fax (870) 862-2289
Fax(870) 862-2289
Organization SubpartNo
Authorized OfficialJerry Henry GrantOwner/physician · (870) 862-2285
Enumeration DateDecember 7, 2010
Last NPPES UpdateAugust 7, 20192 updates tracked since enumeration
NPI 1366745705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in AR · E-0952
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
104 E GROVE ST, El Dorado, AR 71730

Other Names 1

Doing Business AsGrantmed

Secondary Practice Location 1

Location 1104 E Grove StEl Dorado, AR 71730 · Phone (870) 862-2285 · Fax (870) 862-2289

Other Identifiers 2

Other080128979AR · Railroad Medicare
Medicaid130237001AR

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
104 E GROVE ST
EL DORADO, AR 71730

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 Jerry H Grant, M.D., P.A.'s NPI number?

The NPI number for Jerry H Grant, M.D., P.A. is 1366745705. It was assigned to this organization in the NPPES registry on December 7, 2010. The provider is doing business as Grantmed.

Where is Jerry H Grant, M.D., P.A. located?

Jerry H Grant, M.D., P.A. is located at 104 E Grove St, El Dorado, AR 71730. The listed phone number is (870) 862-2285.

What is Jerry H Grant, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Jerry H Grant, M.D., P.A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Jerry H Grant, M.D., P.A. 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 Jerry H Grant, M.D., P.A. was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.