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

Grant Jonathan Ewing

Individual provider Nurse Practitioner · NPI 1023978392

Grant Jonathan Ewing is a Nurse Practitioner in Lake Charles, Louisiana. Qualified in 2025, 1 year ago. Practices with Calcasieu Emergency Group LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone: (337) 491-7709
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 245400 (LA)

Record details

NPI number1023978392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 17, 2025
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Calcasieu Emergency Group Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Charles