Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark E Grandon, PA-C

Individual provider Surgical Physician Assistant · NPI 1386683852

Mark E Grandon, PA-C is a Physician Assistant in Louisville, Kentucky. Qualified in 1991, 35 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
35
Licensed in
KY
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1319
Phone: (502) 636-8004
Fax: (502) 636-8384
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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 PA155 (KY)

Record details

NPI number1386683852
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 9, 2016
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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