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UTRENA DONSHA GRANT
NPI 1548760622
Nurse Practitioner - Family in Waycross, GA

Active since February 15, 2018PECOS Enrolled
1707 SAINT MARYS DR, WAYCROSS, GA 31501(912) 282-1340 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Feb 15, 2018 (2 updates tracked since 2018).

About Utrena Donsha Grant NPPES

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

UTRENA DONSHA GRANT (NPI 1548760622) is an individual family provider in Waycross, Georgia, licensed in Georgia (178607) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548760622
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameUTRENA DONSHA GRANT
Location Address1707 SAINT MARYS DRWaycross, GA 31501-5207
Mailing Address1707 Saint Marys DrWaycross, GA 31501-5207 · (912) 282-1340
Phone(912) 282-1340
Sole ProprietorYes
Enumeration DateFebruary 15, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1548760622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 178607
1707 SAINT MARYS DR, Waycross, GA 31501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Utrena Donsha Grant 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$71.63 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier11 claims11 services$10.53 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$12.49 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
1 supplier12 claims12 services$118.50 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
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers45 claims45 services$25.66 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 Utrena Grant's NPI number?

The NPI number for Utrena Grant is 1548760622. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Utrena Grant located?

Utrena Grant practices at 1707 Saint Marys Dr, Waycross, GA 31501. The listed phone number is (912) 282-1340.

What is Utrena Grant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Utrena Grant enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Utrena Grant was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.