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

Dr. Denise Ricketts Grant, MD

Individual provider Family Medicine Physician · NPI 1215163175

Dr. Denise Ricketts Grant, MD is a Family Practice in Port St Lucie, Florida. Qualified in 2007, 19 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 SE Goldtree Dr Ste 207
Port St Lucie, FL 34952-7583
Phone: (772) 249-2494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1713 Hwy 441 North, Okeechobee, FL 34972 — (863) 467-2159

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME 114478 (FL)

Record details

NPI number1215163175
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2009
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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