P Praxis·MD
● Active Type 1 · Individual

Davina Shawnta Grant

Specialist/Technologist, Pathology·MacOn, GA· NPI 1508698721 · Enumerated 2024 · 1 years on NPI
Grant is 1 of 1 specialist/technologist, pathology providers in MacOn and 1 of 14 in Georgia.
NPI age
1 years
Enumerated 2024-08-16
Primary specialty
Specialist/Technologist, Pathology
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 14 active specialist/technologist, pathology providers in Georgia.

NPI age
1 years
↓ 2 yr below median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-08Enumerated in NPPES
2024 2026

Where they practice

Practice location
1008 Sand Trap Ln
MacOn, GA 312206414
📞 4785085677
Mailing address
8735 Dunwoody Pl, 10492
MacOn, GA 31220
📞 4782079651fax 4048560692

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5580 Thomaston Rd, Suite 18 Pmb 1004
MacOn, GA 31220
📞 4782079651fax 4048560692

Specialties

  • Specialist/Technologist, Pathology Primary
    Definition to come...
    taxonomy 246QL0900X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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