Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexa Blaire Grand, PA-C

Individual provider Physician Assistant · NPI 1093228520

Alexa Blaire Grand, PA-C is a Physician Assistant in Rogers, Arkansas. Qualified in 2017, 9 years ago. Practices with Hull Dermatology PA, a 9-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 S 52nd St
Rogers, AR 72758-8600
Phone: (479) 254-9662
Fax: (806) 701-5845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-922 (AR)

Record details

NPI number1093228520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2017
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hull Dermatology P.A. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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