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PAYTON K GRANDE
NPI 1609751197
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since August 06, 2025PECOS Enrolled
910 MADISON AVE, MEMPHIS, TN 38103(901) 448-5500 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Payton K Grande NPPES

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

PAYTON K GRANDE (NPI 1609751197) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609751197
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePAYTON K GRANDE
Location Address910 MADISON AVEMemphis, TN 38103-3403
Mailing Address910 Madison AveMemphis, TN 38103-3403
Phone(901) 448-5500
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1609751197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
910 MADISON AVE, Memphis, TN 38103
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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)

Payton K Grande 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.

Other Providers at the Same Location NPPES 20

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

DR. KEVAN BING HARRIS M.D.
Student in an Organized Health Care Education/Training Program
910 MADISON AVE, SUITE 1031
MEMPHIS, TN 38103
Shelby County (901) 448-5364
DR. ISAAC FORDJOUR D.D.S.
Dentist (Oral and Maxillofacial Surgery)
910 MADISON AVE, SUITE 710
MEMPHIS, TN 38103
Shelby County (901) 526-3988
KRISTY A MORSE MD
Pediatrics (Pediatric Emergency Medicine)
910 MADISON AVE, SUITE 1031
MEMPHIS, TN 38103
Shelby County (901) 448-5364
UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
General Acute Care Hospital
910 MADISON AVE, STE 1031
MEMPHIS, TN 38103
Shelby County (901) 448-5365
MICHAEL ANTHONY CARBONELL
Student in an Organized Health Care Education/Training Program
910 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-5560
DR. DUSTIN PARKER D.O.
Emergency Medicine (Pediatric Emergency Medicine)
910 MADISON AVE, SUITE 1031
MEMPHIS, TN 38103
Shelby County (901) 287-6756
DR. JENNIFER RENEE KAPLAN M.D.
Student in an Organized Health Care Education/Training Program
910 MADISON AVE, SUITE 1031
MEMPHIS, TN 38103
Shelby County (901) 287-6756
JOHN FRANCIS COOLAHAN III M.D.
Student in an Organized Health Care Education/Training Program
910 MADISON AVE, SUITE 1031
MEMPHIS, TN 38103
Shelby County (901) 448-5364

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 Payton Grande's NPI number?

The NPI number for Payton Grande is 1609751197. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Payton Grande located?

Payton Grande practices at 910 Madison Ave, Memphis, TN 38103. The listed phone number is (901) 448-5500.

What is Payton Grande's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Payton Grande enrolled in Medicare?

Yes. Payton Grande is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Payton Grande was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.