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SUSAN LESLIE GRANVILLE PA
NPI 1912104431
Physician Assistant - Medical in Georgetown, TX

Active since June 28, 2007
4945 WILLIAMS DR, GEORGETOWN, TX 78633(512) 819-0500 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Leslie Granville Pa NPPES

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

SUSAN LESLIE GRANVILLE PA (NPI 1912104431) is an individual medical provider in Georgetown, Texas, licensed in Texas (PA06979) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1912104431
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN LESLIE GRANVILLECredential: PA
Location Address4945 WILLIAMS DRGeorgetown, TX 78633-2008
Mailing Address626 Apache Mountain LnGeorgetown, TX 78633-5434 · (512) 943-9847
Phone(512) 819-0500
Sole ProprietorYes
Enumeration DateJune 28, 2007
Last NPPES UpdateApril 18, 2011
✔ NPI 1912104431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA06979
4945 WILLIAMS DR, Georgetown, TX 78633
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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.

JENNIFER MARIE MEDINA L.C.S.W.
Social Worker (Clinical)
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 819-0718
MS. DENISE ANN GORDON MSW
Social Worker (Clinical)
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 819-0500
DR. NUPUR JHAWAR
Internal Medicine
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 819-0500
PARISA AMIRABADI PA
Physician Assistant
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 819-0500
ZAYD LUAY ABDULLAH AL-NOURI MD
Internal Medicine
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 819-0500
DR. JOSEPH CESSAC O.D.
Optometrist
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 819-0500
A. RON CARMICHAEL JR. RPH
Pharmacist
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 942-3302
MR. SPENSER CHEN M.D.
Internal Medicine
4945 WILLIAMS DR
GEORGETOWN, TX 78633
Williamson County (512) 819-0500

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 Susan Granville's NPI number?

The NPI number for Susan Granville is 1912104431. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Susan Granville located?

Susan Granville practices at 4945 Williams Dr, Georgetown, TX 78633. The listed phone number is (512) 819-0500.

What is Susan Granville's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Granville was last updated on April 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.