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

Grady Goldberg, PA-C

Individual provider Surgical Physician Assistant · NPI 1760099378

Grady Goldberg, PA-C is a Physician Assistant in South Weymouth, Massachusetts. Qualified in 2021, 5 years ago. Practices with Jordan Physician Associates Inc, a 166-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
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

55 Fogg Rd
South Weymouth, MA 02190-2455
Phone: (781) 624-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1760099378
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESMarch 7, 2022
Certification dateJanuary 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jordan Physician Associates Inc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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