Grant Decastillia
Grant Decastillia is a Physician Assistant in Norfolk, Virginia. Qualified in 2025, 1 year ago. Practices with Family Physicians of Tidewater PLLC, a 5-clinician group and accepts Medicare assignment.
- Years since qualifying
- 1
- In the registry since
- 2025
Practice location Address checks out
425 W 20th St Ste 1Norfolk, VA 23517-2128
Phone: (757) 237-6566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1437047156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | June 24, 2025 |
| Last updated in NPPES | June 24, 2025 |
| Certification date | June 24, 2025 |
| Mailing address | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Family Physicians Of Tidewater Pllc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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