DR. CHARLES GORDON GRANT III MD
NPI 1710475306
Emergency Medicine in San Diego, CA

Q: What is Charles Grant's NPI number?

The NPI number for Charles Grant is 1710475306. It was assigned to this individual provider in the NPPES registry on April 29, 2018.

Q: What is Charles Grant's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Grant was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 29, 2018PECOS EnrolledAccepts Medicare Assignment

9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123(858) 266-5000 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2021, Jun 22, 2021, Apr 29, 2018 (3 updates tracked since 2018).

On this page

About Dr. Charles Gordon Grant Iii Md NPPES

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

DR. CHARLES GORDON GRANT III MD (NPI 1710475306) is an individual emergency medicine provider in San Diego, California, licensed in California (A165716) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Wright State University Boonshoft School Of Medicine (2018).

NPPES Registry Identity

NPI1710475306

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. CHARLES GORDON GRANT IIICredential: MD

Location Address9455 CLAIREMONT MESA BLVDSan Diego, CA 92123-1297

Mailing Address7777 Westside Dr Apt 262San Diego, CA 92108-1232 · (253) 886-2683

Phone(858) 266-5000

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2018

Enumeration DateApril 29, 2018

Last NPPES UpdateJuly 19, 20213 updates tracked since enumeration

NPPES CertifiedJuly 7, 2021

✔ NPI 1710475306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A165716

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9455 CLAIREMONT MESA BLVD, San Diego, CA 92123

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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. Charles Gordon Grant Iii Md 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 ID6800209503

PECOS Enrollment IDI20220815002320

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Grant reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Group Of Columbus, LLC

1,867 mi

Emergency Medicine

710 CENTER ST
Columbus, GA 31901

Reassigned Medicare billing, Georgia enrollment
236 clinicians in this Medicare group

NPI 1316458227 (706) 571-1000

Heritage Physician Services, LLC

1,868 mi

Emergency Medicine

100 FRIST CT
Columbus, GA 31909

Reassigned Medicare billing, Georgia enrollment
173 clinicians in this Medicare group

NPI 1003321969 (706) 494-2100

Phoebe Putney Memorial Hospital

1,925 mi

Hematology & Oncology

507 W 3RD AVE, STE 100
Albany, GA 31701

Reassigned Medicare billing, Georgia enrollment
264 clinicians in this Medicare group

NPI 1225072846 (229) 312-9050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

150 services141 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

103 services97 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

47 services46 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110064

Location710 Center StreetColumbus, GA 31901 · Muscogee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

KAISER FOUNDATION HOSPITALS

General Acute Care Hospital