JOSE MARINO GRANADOS M.D.
NPI 1710419668
Psychiatry & Neurology - Vascular Neurology in Rome, GA

Q: What is Jose Marino Granados's NPI number?

The NPI number for Jose Marino Granados is 1710419668. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Jose Marino Granados's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment

15 JOHN MADDOX DR NW, ROME, GA 30165(706) 368-8550(706) 236-7473 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Apr 30, 2024, Mar 30, 2017 (3 updates tracked since 2017).

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About Jose Marino Granados M.d. NPPES

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

JOSE MARINO GRANADOS M.D. (NPI 1710419668) is an individual vascular neurology provider in Rome, Georgia, licensed in Georgia (98515) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1710419668

Entity TypeIndividualMale

Primary Taxonomy2084V0102X

Provider Legal NameJOSE MARINO GRANADOSCredential: M.D.

Location Address15 JOHN MADDOX DR NWRome, GA 30165-1413

Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800

Phone(706) 368-8550

Fax(706) 236-7473

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 30, 2017

Last NPPES UpdateJune 1, 20263 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1710419668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

License✔ Licensed in GA · 98515

Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

15 JOHN MADDOX DR NW, Rome, GA 30165

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Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Marino Granados M.d. 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.

PECOS PAC ID1456624477

PECOS Enrollment IDI20240709001871

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number110023

Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County

Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

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.

Other Providers at the Same Location NPPES 13

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

DANIEL BARNES WEBB MD

Neurological Surgery