Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Granville Family Medicine PA

Organization Family Medicine Physician · NPI 1093713695

Granville Family Medicine PA is a Family Medicine Physician in Oxford, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 Professional Park Ste A
Oxford, NC 27565-2581
Phone: (919) 693-7108
Fax: (919) 693-9245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25053 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 25053 (NC)

Record details

NPI number1093713695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Mahan — Ceo · (919) 693-7108
NPI enumeratedJuly 8, 2005
Last updated in NPPESSeptember 15, 2014
Mailing address103 Professional Park Ste A, Oxford, NC 27565-2581

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