DR. GRANT LISETOR DC
NPI 1477957371
Chiropractor in Charlotte, NC
About Dr. Grant Lisetor Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRANT LISETOR DC (NPI 1477957371) is an individual chiropractor in Charlotte, North Carolina, licensed in North Carolina (4490) and active in the NPI registry since October 2014. He is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Grant Lisetor Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Grant Lisetor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28217
- Reassigned Medicare billing, North Carolina enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grant Lisetor's NPI number?
The NPI number for Grant Lisetor is 1477957371. It was assigned to this individual provider in the NPPES registry on October 21, 2014.
Where is Grant Lisetor located?
Grant Lisetor practices at 624 Tyvola Rd Suite 100, Charlotte, NC 28217. The listed phone number is (704) 770-8436.
What is Grant Lisetor's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Grant Lisetor enrolled in Medicare?
Yes. Grant Lisetor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Grant Lisetor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grant Lisetor reassigns Medicare benefits to Greater Life Chiropractic (Charlotte, NC). The 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 Grant Lisetor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grant Lisetor accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Grant Lisetor 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 Grant Lisetor was last updated on October 21, 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.
# Dr. Grant Lisetor, DC · NPI 1477957371
Chiropractor provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since October 21, 2014.
## Identity
- **NPI:** 1477957371 (Entity type: Individual)
- **Enumerated:** October 21, 2014
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4490 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 624 TYVOLA RD, SUITE 100, Charlotte, NC 28217-3578
- **Phone:** (704) 770-8436
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Greater Life Chiropractic (NPI 1831595347, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 21, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1477957371) · Data from the CMS NPPES public registry.