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

Individual provider Physician Assistant · NPI 1952099962

Mikayla Jenny Granata, PA-C is a Physician Assistant in Manchester, New Hampshire. Qualified in 2023, 3 years ago. Practices with Convenientmd - Ffs Uc LLC, a 395-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
3
Licensed in
NH
In the registry since
2023
Specialties on file
2
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

738 Hooksett Rd
Manchester, NH 03104-2617
Phone: (603) 384-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Dobson Way, Merrimack, NH 03054-4340 — (603) 471-6069

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2063 (NH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1952099962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Convenientmd - Ffs Uc Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations14 on file with Medicare

Other providers in Manchester