KIRK A. GRANTHAM M.D. – NPI #1023241403
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

KIRK GRANTHAM is a physician located in SHREVEPORT, LA. NPPES has assigned the NPI number 1023241403 to KIRK GRANTHAM on September 01, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Jun 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIRK GRANTHAM below.

NPI Profile for
KIRK A. GRANTHAM

NPI Number
1023241403
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KIRK A. GRANTHAM
Credentials
M.D.
Primary location
2530 BERT KOUNS LOOP
SUITE 138
SHREVEPORT, LA 71118-3132
Phone: (318) 588-4726 Fax: (318) 900-7828
1 Other location(s):
1800 Irving Pl
Shreveport, LA 71101-4608
Phone: (985) 892-7070
Fax: (985) 892-7017
Mailing address
PO BOX 1264
BENTON, LA 71006-1264
Phone: (318) 588-4726 Fax: (318) 900-7828
Sole Proprietor
No
Updated
Certification Date
Jun 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIRK GRANTHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAR MEDICAIDAR193488001
MEDICAIDLA2303732
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 FL TRN 14355

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KIRK GRANTHAM is affiliated with the following medical group(s):
  • LONG-TERM CARE HOSPITAL
    • CORNERSTONE SPECIALTY HOSPITALS BOSSIER CITY
      4900 MEDICAL DRIVE
      BOSSIER CITY, LA 71112
    • INTENSIVE SPECIALTY HOSPITAL
      1800 IRVING PLACE
      SHREVEPORT, LA 71101
  • INPATIENT REHABILITATION FACILITY
    • ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVE
      8650 MILLICENT WAY
      SHREVEPORT, LA 71115

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.