Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1073121174 Deactivated / Inactive NPI Male Practitioner

Gram Christian Royal , CDCA

Case Manager/Care Coordinator • Columbus, OH

⚠️

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, Gram Royal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 15, 2020
NPI Deactivation Date March 22, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Gram Royal, CDCA was a registered Case Manager/Care Coordinator practicing in Columbus, OH. Throughout an active medical career spanning 4 years, Gram Royal provided care at the practice location at 1791 ALUM CREEK DR until profile deactivation on 2024-03-22.

Practice Location & Contact Primary Location

Practice Address

1791 Alum Creek Dr

Columbus, OH 432071757

Telephone 6144458131
Associated Practice Facility / Clinic
🏢 Maryhaven Inc. Facility NPI 1245290436

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
3978 Specialists

Practicing in Columbus, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-01
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License OH 172154

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH 172154

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kenneth Jackson , LSW, LCDC III

Counselor - Mental Health

NPI 1003328550

Licensed Social Worker, LCDCIII

Tara Hupp , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003462755

Chemical Dependency Counselor Assistant

Matthew Canan , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003640079

Chemical Dependency Counselor Assistant

Jacqueline Meadows , LPN

Licensed Practical Nurse

NPI 1013209774

Licensed Practical Nurse

Amanda Anderson , LPC

Counselor - Professional

NPI 1013401702

Licensed Professional Counselor

Amber Yoder , LPN

Licensed Practical Nurse

NPI 1013427673

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 01, 2024

Registered at 1791 ALUM CREEK DR, COLUMBUS, OH 432071757 (Tel: 6144458131)

📍
Updated Business Mailing Address June 01, 2024

Registered at 10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 431478235 (Tel: 6147627359)

👤
Provider Name / Credentials Updated June 01, 2024

Recorded as GRAM ROYAL, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2024

Counselor (License #172154 in OH)

⚠️
NPI Profile Deactivated March 22, 2024

Record deactivated on March 22, 2024

NPI Profile Active July 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2020

Registered at 1791 ALUM CREEK DR, COLUMBUS, OH 432071757 (Tel: 6144458131)

📍
Updated Business Mailing Address July 15, 2020

Registered at 1791 ALUM CREEK DR, COLUMBUS, OH 432071757 (Tel: 6144458131)

👤
Provider Name / Credentials Updated July 15, 2020

Recorded as GRAM ROYAL, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2020

Counselor (License #172154 in OH)

🟢
Initial NPI Registration & Enumeration July 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Gram Royal. Be the first to share your experience!

Sign in to leave a review for Gram Royal

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1073121174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2020
Last Update: June 01, 2024
Deactivation Date: March 22, 2024
Sole Proprietor: No

Mailing Address

10400 Blacklick Eastern Rd

Pickerington, OH 431478235

Phone: 6147627359

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.