MEDICARE: MINDY WILLIAMSON GRANGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA4427	MS

General Provider Information

NPI Number	:	1558229369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDY WILLIAMSON GRANGER

Provider Business Mailing Address
First Line	:	13 NORTHTOWN DR STE 110
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-3047
Country	:	US
Telephone Number	:	601-206-9195
Fax Number	:	601-957-8391

Provider Business Practice Location Address
First Line	:	13 NORTHTOWN DR STE 110
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-3047
Country	:	US
Telephone Number	:	601-206-9195
Fax Number	:	601-957-8391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

Similar Medicare Providers

1548218738 — PROVIDENCE HOSPICE, LLC
Practice Location Address:

13 NORTHTOWN DR , SUITE 220
JACKSON, MS
39211-3047

Practice Phone: 601-956-9755
Practice Fax: 601-956-0743

1356375687 — GERIATRIC SERVICES, INC.
Practice Location Address:

13 NORTHTOWN DR , SUITE 220
JACKSON, MS
39211-3047

Practice Phone: 601-956-8276
Practice Fax: 601-709-0832

1588759369 — TRINITY REHABILITATION INC
Practice Location Address:

13 NORTHTOWN DR , SUITE 110
JACKSON, MS
39211-3047

Practice Phone: 601-206-9195
Practice Fax: 601-957-8391

1326118522 — HOMECARE HOSPICE, LLC
Practice Location Address:

13 NORTHTOWN DR STE 130
JACKSON, MS
39211-3047

Practice Phone: 769-257-6347
Practice Fax: 769-257-6379

1356568588 — DR. JOHN ALLEN FRENZ M.D.
Practice Location Address:

13 NORTHTOWN DR , SUITE 103
JACKSON, MS
39211-3047

Practice Phone: 601-625-7840
Practice Fax: 769-257-6347

1548453632 — MARY KATHY WORTHY OTR/L
Practice Location Address:

13 NORTHTOWN DR , SUITE 110
JACKSON, MS
39211-3047

Practice Phone: 601-206-9195
Practice Fax: 601-957-8391

Directions to “ MINDY WILLIAMSON GRANGER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.