OLIVIA HARLAN GRANT MD
NPI 1992408207
Pediatrics in Jackson, MS

Active since March 24, 2023PECOS Enrolled
2500 N STATE ST # S139-01, JACKSON, MS 39216(601) 984-1130 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2026, Mar 28, 2023, Mar 24, 2023 (3 updates tracked since 2023).

About Olivia Harlan Grant Md NPPES

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

OLIVIA HARLAN GRANT MD (NPI 1992408207) is an individual pediatrics provider in Jackson, Mississippi, licensed in Texas (W5355) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Mississippi School Of Medicine (2023).

NPPES Registry Identity

NPI1992408207
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameOLIVIA HARLAN GRANTCredential: MD
Location Address2500 N STATE ST # S139-01Jackson, MS 39216-4500
Mailing Address2500 N State St # S139-01Jackson, MS 39216-4500 · (601) 984-1130
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2023
Enumeration DateMarch 24, 2023
Last NPPES UpdateApril 18, 20263 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
NPI 1992408207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · W5355
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2500 N STATE ST # S139-01, Jackson, MS 39216

Secondary Practice Location 1

Location 16701 Fannin St Ste 1400Houston, TX 77030-2613 · Phone (832) 822-4242

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olivia Harlan Grant Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961859921
PECOS Enrollment IDI20260427001141
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 7

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

Student in an Organized Health Care Education/Training Program
2500 N STATE ST # S139-01
JACKSON, MS 39216
Pediatrics
2500 N STATE ST # S139-01
JACKSON, MS 39216
Student in an Organized Health Care Education/Training Program
2500 N STATE ST # S139-01
JACKSON, MS 39216
Pediatrics
2500 N STATE ST # S139-01
JACKSON, MS 39216
Pediatrics
2500 N STATE ST # S139-01
JACKSON, MS 39216
Pediatrics
2500 N STATE ST # S139-01
JACKSON, MS 39216
Pediatrics
2500 N STATE ST # S139-01
JACKSON, MS 39216

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 Olivia Grant's NPI number?

The NPI number for Olivia Grant is 1992408207. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Olivia Grant located?

Olivia Grant practices at 2500 N State St # S139-01, Jackson, MS 39216. The listed phone number is (601) 984-1130.

What is Olivia Grant's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Olivia Grant enrolled in Medicare?

Yes. Olivia Grant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Grant was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.