DR. COLIN MICHAEL GRANT (D.O.) – Family Medicine Physician, NPI 1790912368

DR. COLIN MICHAEL GRANT (D.O.) is a healthcare provider. based in Glen allen, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 0102202700 (VA). The NPI Number for DR. COLIN MICHAEL GRANT (D.O.) is 1790912368

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. COLIN MICHAEL GRANT (D.O.)
NPI
1790912368
Phone
(804) 968-5700
Address
5000 COX RD
Enumeration Date
22 June 2009
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7032374800
Graduation Year
2009 (17 years ago)
PAC ID
9436432697
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20170214000049
Address ID
VA220333952FA12255PKWY400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

3,174 FAMILY PRACTICE in VA

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Provider Addresses for DR. COLIN MICHAEL GRANT (D.O.)

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Fax: (804) 217-7991

    Type: Mailing

  • Old Bridge Road, Woodbridge, Warner Robins, Houston County, Georgia, 31099, United States

    LAKE RIDGE, VA 221922911

    Phone: (703) 357-9707

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170214000049IFamily PracticeDCTBD
I20170220002013IFamily PracticeVATBD
I20210917000929IFamily PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23060)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. COLIN MICHAEL GRANT (D.O.) for billing?
Administrative and clinical systems typically use NPI 1790912368 for DR. COLIN MICHAEL GRANT (D.O.).
Quick check: is DR. COLIN MICHAEL GRANT (D.O.) active?
Public NPPES data shows DR. COLIN MICHAEL GRANT (D.O.) with an active NPI status right now.
What type of care does DR. COLIN MICHAEL GRANT (D.O.) provide?
DR. COLIN MICHAEL GRANT (D.O.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. COLIN MICHAEL GRANT (D.O.)?
DR. COLIN MICHAEL GRANT (D.O.) shows a connection to Glen Allen, Virginia in registry-derived data.
Who maintains DR. COLIN MICHAEL GRANT (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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