Mary Ellen Groff, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3789 Issued in SC

Practice address

40 Okatie Ctr Blvd Ste 100
Bluffton, SC 29909-7519

Phone

(843) 708-8888

Fax

(843) 705-7024

NPI assigned

Mar 14, 2006

Last updated

Apr 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.groff.p21@direct.tenet.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Franklin Square Hospital Center, Inc.

  dba MedStar Orthopedics

  • Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1952722837
  NPD (past)
• Helixcare Medical Group, LLC

  dba MedStar Physician Partners-Specialits at St. Mary's

  • Urology Physician
  • Mechanicsville, MD
  • NPI 1164725529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1013986991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AGAPE SENIOR PRIMARY CARE INC",
            "address_2": "1624 MAIN STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012818",
            "telephone_number": "803-726-2350",
            "fax_number": "803-753-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CTR BLVD STE 100",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097519",
            "telephone_number": "843-708-8888",
            "fax_number": "843-705-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Agape Senior Primary Care Inc",
            "address_2": "1053 Center Street",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "29169",
            "country_code": "US",
            "telephone_number": "800-491-0909",
            "fax_number": "843-353-2581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROFF",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R04165",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1602",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121922400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Nicole Green, M.D.
• D'Mariea Lamar Caleb Green, OTD, OTR
• Jennifer Jacquelyn Green, APRN
• Mitchell Greene
• Deborah Grimm
• Jacob L Gross, DPT
• Margaret Monique Guffey, MA, ED.S, LPC
• Caio Guimaraes, PHARMD
• Jessica Hansen Gunn, RN
• Atul Mohan Gupta, M.D.

• Nurse Practitioner in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.