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

Dr. Grady Reynolds Fort, MD

Individual provider Pediatrics Physician · NPI 1982765582

Dr. Grady Reynolds Fort, MD is a Pediatric Medicine in Livingston, California. Graduated from University of California, San Francisco School of Medicine in 1972, 54 years ago. Practices with McCloud Healthcare Clinic, Inc, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
54
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2006
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

1140 Main St Livingston Medical Group
Livingston, CA 95334-1257
Phone: (209) 394-7913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G27353 (CA)

Record details

NPI number1982765582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1972 (54 years in practice)
Group practice McCloud Healthcare Clinic, Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare