Active NPI
Michelle Thomas Brown, RD
- Registered Dietitian
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1982
- Practice address
- 3508 S Live Oak Dr
Moncks Corner, SC 29461-8737 - Phone
- (843) 958-2590
- Fax
- (843) 606-7996
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1982 | SC | Primary |
Addresses
Primary practice location
3508 S Live Oak Dr
Moncks Corner, SC 29461-8737
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT1193 | Medicaid | SC |
Other names 1
- Michelle T. Grossman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2093 Henry Tecklenburg Dr
202E
Charleston, SC 29414-5783
Phone (843) 958-2590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1982 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper St. Francis Specialty Physicians | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Past | Accepting new patients | |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
2093 Henry Tecklenburg Dr
Ste 202E
Charleston, SC 29414
Phone (843) 720-5665
2093 Henry Tecklenburg Dr
#202E
Charleston, SC 29414
Phone (843) 720-5665
2093 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1006
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260
3508 S Live Oak Dr
Moncks Corner, SC 29461
Phone (843) 534-1770
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
-
- Orthopaedic Surgery Physician
- Charleston, SC
- NPI 1588905244
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1053938795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 S LIVE OAK DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618737",
"telephone_number": "843-958-2590",
"fax_number": "843-606-7996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MICHELLE",
"middle_name": "THOMAS",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "1982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DT1193",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "GROSSMAN",
"middle_name": "T.",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.