Healthcare Provider Details

I. General information

NPI: 1457526907
Provider Name (Legal Business Name): GRANVILLE HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 PROFESSIONAL PARK STE C
OXFORD NC
27565-2581
US

IV. Provider business mailing address

PO BOX 947
OXFORD NC
27565-0947
US

V. Phone/Fax

Practice location:
  • Phone: 919-690-3000
  • Fax: 919-690-3457
Mailing address:
  • Phone: 919-690-3000
  • Fax: 919-690-3457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MELANIE HOBGOOD
Title or Position: ACTING CEO
Credential:
Phone: 919-690-3445