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

Mr. Matthew Joseph Granner

Individual provider Physician Assistant · NPI 1992345045

Mr. Matthew Joseph Granner is a Physician Assistant in Dyersburg, Tennessee. Qualified in 2020, 6 years ago. Practices with West Tennessee Bone and Joint Clinic PC, a 63-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

2035 Saint John Ave
Dyersburg, TN 38024-2247
Phone: (316) 619-8257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1992345045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 7, 2020
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address120 Gene Adams Rd, Martin, TN 38237-8146

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice West Tennessee Bone And Joint Clinic Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dyersburg