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

Grant Edwin Kirby, PAC

Individual provider Physician Assistant · NPI 1578574653

Grant Edwin Kirby, PAC is a Physician Assistant in Fort Worth, Texas. Qualified in 1997, 29 years ago. Practices with Chisholm Trail Orthopedics and Sports Medicine, LLLP, a 13-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
29
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-7080
Fax: (682) 885-7085
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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 · Licence PA01989 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA01989 (TX)

Record details

NPI number1578574653
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing addressPo Box 733784, Dallas, TX 75373-3784

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Chisholm Trail Orthopedics And Sports Medicine, Lllp — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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