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

Grant Needham, PA-C

Individual provider Medical Physician Assistant · NPI 1699870899

Grant Needham, PA-C is a Physician Assistant in Washington, Utah. Qualified in 2000, 26 years ago. Practices with Centric Physicians Intermountain Region, PLLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
26
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1107 N Casitas Hill Loop
Washington, UT 84780-8922
Phone: (435) 632-7681
Fax: (435) 250-3615
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 284995-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 284995-1206 (UT)

Record details

NPI number1699870899
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address1107 N Casitas Hill Loop, Washington, UT 84780-8922

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Centric Physicians Intermountain Region, Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations14 on file with Medicare