OrganizationActive
Granada Emergency Physicians
NPI 1689623407 · Emergency Medicine Physician · Ormond Beach, FL
Provider details
- NPI number
- 1689623407
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry Meadows, Vice President(800) 507-8874
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
875 Sterthaus Ave
Ormond Beach, FL 32174-5131
Phone: (386) 676-6022
Fax: (386) 676-6255
Street-level locationGet directions
Mailing address
Po Box 41752
Philadelphia, PA 19101-1752
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2008-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.