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

Mr. Samuel Reed Grady, PA

Individual provider Medical Physician Assistant · NPI 1205287174

Mr. Samuel Reed Grady, PA is a Physician Assistant in Manchester, New Hampshire. Qualified in 2016, 10 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire and New York.

Years since qualifying
10
Licensed in
NH, NY
In the registry since
2016
Specialties on file
2
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

100 McGregor St
Manchester, NH 03102-3730
Phone: (603) 668-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43 New Scotland Ave, Albany, NY 12208-3412 — (518) 262-3125

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1287 (NH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 019735 (NY)

Record details

NPI number1205287174
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 22, 2016
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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