Dr. Carlos Gregory Grantham , MD
General Practice • Gray, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Carlos Grantham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Carlos Grantham, MD was a registered General Practice practicing in Gray, GA. Throughout an active medical career spanning 9 years, Dr. Grantham provided care at the practice location at 114 JACKSON AVE until profile deactivation on 2018-10-24.
Historical Medicare Part B clinical services included injection, methylprednisolone acetate, 20 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
114 Jackson Ave
Post Office Box 352
Gray, GA 310325402
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Gray, GA
Practicing in Gray, GA (369 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1020
Injection, methylprednisolone acetate, 20 mg
|
130 | 22 | $40.00 | $4.93 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
87 | 66 | $119.79 | $39.06 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
86 | 61 | $200.28 | $66.03 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
75 | 45 | $44.00 | $22.42 |
|
36415
Insertion of needle into vein for collection of blood sample
|
39 | 35 | $45.00 | $2.94 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
27 | 19 | $30.00 | $0.67 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
13 | 13 | $200.00 | $103.96 |
|
J1040
Injection, methylprednisolone acetate, 80 mg
|
12 | 11 | $100.00 | $10.23 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 24, 2018
NPI status registered as active in NPPES database
Registered at 114 JACKSON AVE, POST OFFICE BOX 352, GRAY, GA 310325402 (Tel: 4789869355)
Registered at 114 JACKSON AVE, POST OFFICE BOX 352, GRAY, GA 310325402 (Tel: 4789869355)
Recorded as CARLOS GRANTHAM, M.D.
General Practice (License #010170 in GA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Carlos Grantham
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
114 Jackson Ave, Post Office Box 352
Gray, GA 310325402
Phone: 4789869355
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.