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

Individual provider Physician Assistant · NPI 1932130507

Johnathan K Grandy, PA is a Physician Assistant in Augusta, Maine. Qualified in 2004, 22 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

35 Medical Center Pkwy
Augusta, ME 04330
Phone: (207) 877-3400
Fax: (207) 877-3401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010477 (NY)

Record details

NPI number1932130507
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 1, 2018
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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