GRANGER MEDICAL MILLCREEK
NPI 1447667217
Clinic/Center - Primary Care in Salt Lake City, UT
About Granger Medical Millcreek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANGER MEDICAL MILLCREEK (NPI 1447667217) is a healthcare organization registered as a primary care in Salt Lake City, Utah and active in the NPI registry since July 2014. The organization holds 2 active CLIA laboratory certificates and lists Anne Whitaker, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Granger Medical Millcreek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
190Medicare enrollment records show 190 clinicians reassign Medicare billing to Granger Medical Millcreek, which bills Medicare for the services they deliver. Of these, 138 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 190Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 of Accreditation 46D1027928
Granger Medical Clinic / Lab · Salt Lake City, UTCertificate of Waiver 46D2316503
Granger Medical Clinic Pain And Spine Cottonwood Heights · Salt Lake City, UTFrequently 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 Granger Medical Clinic, Inc.'s NPI number?
The NPI number for Granger Medical Clinic, Inc. is 1447667217. It was assigned to this organization in the NPPES registry on July 14, 2014. The provider is doing business as Granger Medical Millcreek.
Where is Granger Medical Clinic, Inc. located?
Granger Medical Clinic, Inc. is located at 1250 E 3900 S Suite 250, Salt Lake City, UT 84124. The listed phone number is (801) 268-6283.
What is Granger Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Granger Medical Clinic, Inc. enrolled in Medicare?
Yes. Granger Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Granger Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 190 clinicians in 32 Medicare specialties reassign their Medicare billing to Granger Medical Clinic, Inc.. 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), Family Practice (34) and Urology (17). Of these, 138 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Granger Medical Clinic, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Granger Medical Clinic, Inc. was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Granger Medical Millcreek · NPI 1447667217
Primary Care organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since July 14, 2014.
## Identity
- **NPI:** 1447667217 (Entity type: Organization)
- **Enumerated:** July 14, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Granger Medical Clinic, Inc.
- **Organization subpart:** Yes (part of Granger Medical Clinic, Inc.)
- **Authorized official:** Anne Whitaker, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1250 E 3900 S, SUITE 250, Salt Lake City, UT 84124-1348
- **Phone:** (801) 268-6283 · **Fax:** (801) 263-3579
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 190 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (34), Urology (17); 138 practice within 10 miles; [full list](https://npiprofile.com/npi/1447667217/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2014
- **Other identifiers:** Medicare UPIN 000004880
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1447667217) · Data from the CMS NPPES public registry.