Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Granville Family Medicine PA

Organization Family Medicine Physician · NPI 1093713695

Granville Family Medicine PA provides Family Medicine Physician services in Oxford, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 Professional Park Ste A
Oxford, NC 27565-2581 Not confirmed with CMS for 12 years — call before visiting
Phone: (919) 693-7108
Fax: (919) 693-9245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25053 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 25053 (NC)

Record details

NPI number1093713695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Mahan — Ceo · (919) 693-7108
NPI enumeratedJuly 8, 2005
Last updated in NPPESSeptember 15, 2014
Mailing address103 Professional Park Ste A, Oxford, NC 27565-2581

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