Grant Thomas Land, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Conyers, Georgia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Qcpi-villagemd Pc and his current practice location is
1445 Old Mcdonough Hwy Se, Suite E, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 922-9222.
Grant Thomas Land is licensed to practice in Georgia (license number 004108) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508816570.
Physician's Profile
| Full Name | Grant Thomas Land |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 21 Years |
|---|
| Location | 1445 Old Mcdonough Hwy Se, Suite E, Conyers, Georgia |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Grant Thomas Land graduated from medical school in 2003
NPI Data:
- NPI Number: 1508816570
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496701781
- Enrollment ID: I20060502000324
Medical Identifiers
Medical identifiers for Grant Thomas Land such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508816570 | NPI | - | NPPES |
| 003200095A | Medicaid | GA | |
| 004108 | Other | GA | PA LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 004108 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 004108 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Qcpi-villagemd Pc | 8123389277 | 74 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grant Thomas Land is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grant Thomas Land, PA-C
6175 Newton Dr Ne,
Covington, GA 30014-2690
Ph: (770) 787-6900 | Grant Thomas Land, PA-C
1445 Old Mcdonough Hwy Se, Suite E,
Conyers, GA 30094-7788
Ph: (770) 922-9222 |
Reviews and Comments