Individual provider · Type 1 NPI

George Stephen Granberry Iv, PA-C

Physician Assistant · Wichita, KS

NPI number 1679910285 Active

Practice location

9828 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4100

Call (316) 631-1600 Map

Fax (316) 631-1617

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15-01611 (KS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679910285

George Stephen Granberry Iv, PA-C's National Provider Identifier is 1679910285, issued on May 23, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wichita, KS. The record was last updated on Mar 17, 2026.