Granger Medical Clinic PC
NPI 1174968051 · Family Medicine Physician · Draper, UT
Granger Medical Clinic PC is a Family Medicine Physician organization in Draper, UT (NPI 1174968051).
Provider details
- NPI number
- 1174968051
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Granger Medical Clinic PC
- Organization subpart
- Yes
- Authorized official
- Mary Jane Pennington, President(801) 965-3600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Granger Medical Draper
- Other name
- Granger Medical Draper
Registry dates
- Enumerated
- 2013-05-06
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Frequently asked questions
- What is Granger Medical Clinic PC's NPI number?
- Granger Medical Clinic PC's National Provider Identifier (NPI) is 1174968051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granger Medical Clinic PC?
- Granger Medical Clinic PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Granger Medical Clinic PC located?
- Granger Medical Clinic PC's practice location on file with NPPES is 11724 South State St., Draper, UT 84020.
- What is Granger Medical Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Granger Medical Clinic PC is (801) 965-3600.
- Who is the authorized official for Granger Medical Clinic PC?
- The authorized official listed on Granger Medical Clinic PC's NPPES record is Mary Jane Pennington, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granger Medical Clinic PC's NPI active?
- Yes — Granger Medical Clinic PC's NPI (1174968051) is active in the NPPES registry as of the last update on 2023-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.