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FAMILY AND GERIATRIC MEDICAL ASSOCIATES
NPI 1922136480
Nurse Practitioner - Family in Oklahoma City, OK

Active since February 28, 2007CLIA 37D0471171 · Microscopy
5622 N PORTLAND AVE, #102, OKLAHOMA CITY, OK 73112(405) 917-7590(405) 917-7595 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family And Geriatric Medical Associates NPPES

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

FAMILY AND GERIATRIC MEDICAL ASSOCIATES (NPI 1922136480) is a healthcare organization registered as a family in Oklahoma City, Oklahoma and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through March 3, 2028 and lists Susan B Grandle, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1922136480
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameF.G.M.A. ,LLC.
Location Address5622 N PORTLAND AVE, #102Oklahoma City, OK 73112-2096
Mailing Address5622 N Portland Ave, #102Oklahoma City, OK 73112-2096 · (405) 917-7590 · Fax (405) 917-7595
Phone(405) 917-7590
Fax(405) 917-7595
Organization SubpartNo
Authorized OfficialSusan B GrandleNurse Practitioner · (405) 917-7590
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJune 4, 2015
✔ NPI 1922136480 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 OK · R0028064
5622 N PORTLAND AVE, Oklahoma City, OK 73112
Open in Google Maps ↗

Other Names 1

Other NameFamily And Geriatric Medical Associates

Other Identifiers 4

OtherR0028064OK · Susan Grandle Lic #
Medicaid100216830DOK
Medicare ID-Type Unspecified300522043OK · Group Number
Medicare UPINP02494OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D0471171

Fgma/Family & Geriatric Medical Assoc · Oklahoma City, OK
Active · expires Mar 3, 2028
CLIA Number37D0471171
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorSusan B. Grandle
Laboratory Phone(405) 917-7590
Laboratory LocationFgma/Family & Geriatric Medical Assoc5622 N Portland Suite 102, Oklahoma City, OK 73112
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

LINDA J TRUITT MD INC
Obstetrics & Gynecology (Gynecology)
5622 N PORTLAND AVE, 101
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 943-1114
MRS. SANDY K JAYNE PT
Physical Therapist
5622 N PORTLAND AVE, #250
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 946-4150
MUKESH T. PAREKH, M.D. INC
Obstetrics & Gynecology
5622 N PORTLAND AVE, #240
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 943-6288
ADAMS PEDIATRICS, LLC
Case Manager/Care Coordinator
5622 N PORTLAND AVE, 200
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 929-2881
BYRD HEALTH CARE LLC
Nurse Practitioner (Family)
5622 N PORTLAND AVE, #102
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 917-7590
DR. CHADWICK BRANCH O.D.
Optometrist
5622 N PORTLAND AVE, STE 200
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 528-8193
DR. MARY KATHRYN MERCER I DO
Internal Medicine
5622 N PORTLAND AVE, SUITE 101
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 942-5513

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 F.G.M.A. ,llc.'s NPI number?

The NPI number for F.G.M.A. ,llc. is 1922136480. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is also known as Family And Geriatric Medical Associates.

Where is F.G.M.A. ,llc. located?

F.G.M.A. ,llc. is located at 5622 N Portland Ave #102, Oklahoma City, OK 73112. The listed phone number is (405) 917-7590.

What is F.G.M.A. ,llc.'s specialty?

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

Does F.G.M.A. ,llc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0471171) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for F.G.M.A. ,llc. was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.