EDWARD KEITH GRANT (PA-C) – Surgical Physician Assistant, NPI 1245236744

EDWARD KEITH GRANT (PA-C) is a healthcare provider. based in Macon, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4120 (GA). The NPI Number for EDWARD KEITH GRANT (PA-C) is 1245236744

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD KEITH GRANT (PA-C)
NPI
1245236744
Phone
(478) 745-4206
Address
3708 NORTHSIDE DR
Enumeration Date
21 June 2005
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787454206
Graduation Year
2003 (23 years ago)
PAC ID
1658354246
Group Practice PAC ID
7911994835
Professional Enrollment ID
I20040614000026
Address ID
GA312102404MA3708XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for EDWARD KEITH GRANT (PA-C)

  • Northside Drive, Riverside Park, Macon, Bibb County, Georgia, 31210, United States

    MACON, GA 312102404

    Phone: (478) 745-4206

    Fax: (478) 254-5463

    Type: Location

  • PO BOX 370

    FORTSON, GA 318080370

    Phone: (706) 494-3171

    Type: Mailing

  • 100 N MACON ST

    MACON, GA 312106563

    Phone: (478) 200-6970

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Boston Scientific Corporation ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040614000026IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes177140$0
99214Established patient office or other outpatient visit, 30-39 minutes8876$0
72110X-ray of lower and sacral spine, minimum of 4 views8281$0
72170X-ray of pelvis, 1-2 views6262$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion5934$0
View full utilization report →

Insurance plans in this area (ZIP 31210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911994835View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryGA
Orthopedic SurgeryGA
-GA
Nurse PractitionerGA
Physical Therapist In Private PracticeTX
-GA
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
Occupational Therapist In Private PracticeGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is EDWARD KEITH GRANT (PA-C) listed with a National Provider Identifier?
Yes — EDWARD KEITH GRANT (PA-C) has NPI 1245236744 on file in the registry.
Is EDWARD KEITH GRANT (PA-C) still an active registrant?
EDWARD KEITH GRANT (PA-C) carries an active NPI according to the public dataset.
How would a patient describe EDWARD KEITH GRANT (PA-C)'s focus?
For EDWARD KEITH GRANT (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is EDWARD KEITH GRANT (PA-C) associated with Macon?
Public fields place EDWARD KEITH GRANT (PA-C) around Macon, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for EDWARD KEITH GRANT (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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