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GRANT THOMAS LAND PA-C
NPI 1508816570
Physician Assistant - Medical in Conyers, GA

Active since May 11, 2006PECOS Enrolled
1445 OLD MCDONOUGH HWY SE, SUITE E, CONYERS, GA 30094(770) 922-9222(770) 504-6318 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grant Thomas Land Pa-c NPPES

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

GRANT THOMAS LAND PA-C (NPI 1508816570) is an individual medical provider in Conyers, Georgia, licensed in Georgia (004108) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508816570
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGRANT THOMAS LANDCredential: PA-C
Location Address1445 OLD MCDONOUGH HWY SE, SUITE EConyers, GA 30094-7788
Mailing Address6175 Newton Dr NeCovington, GA 30014-2690 · (770) 787-6900 · Fax (770) 787-6962
Phone(770) 922-9222
Fax(770) 504-6318
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1508816570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 004108
Also ListedFamily MedicineTaxonomy 207Q00000X · License 004108 (GA)
1445 OLD MCDONOUGH HWY SE, SUITE E, Conyers, GA 30094
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Other Identifiers 2

Medicaid003200095AGA
Other004108GA · Pa License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Thomas Land Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims36 services$6.69 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers12 claims290 services$3.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers18 claims18 services$21.32 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier32 claims32 services$6.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers29 claims29 services$116.44 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Land's NPI number?

The NPI number for Grant Land is 1508816570. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Grant Land located?

Grant Land practices at 1445 Old Mcdonough Hwy SE, Suite E, Conyers, GA 30094. The listed phone number is (770) 922-9222.

What is Grant Land's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Grant Land enrolled in Medicare?

Yes. Grant Land is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Land was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.