Active NPI
Joliette Nicole Grace, M.D.
- Surgery Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME133013
- Practice address
- 200 Herlong Ave S Ste G
Rock Hill, SC 29732-1182 - Phone
- (803) 909-6300
- Fax
- (803) 909-6310
- NPI assigned
- Jun 1, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 93469 | SC | |
| Surgery Physician | 208600000X | ME133013 | FL | Primary |
| Trauma Surgery Physician | 2086S0127X | ME133013 | FL |
Addresses
Primary practice location
200 Herlong Ave S Ste G
Rock Hill, SC 29732-1182
Mailing address
13111 Bridgeport Xing
Bradenton, FL 34211-4002
Phone (573) 703-5663
Other names 1
- Joliette Nicole Barnum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Missouri, Columbia School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Herlong Ave S
Suite G
Rock Hill, SC 29732-1182
Phone (803) 909-6300
Hospital & facility affiliations
- Piedmont Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.62 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME133013 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Physician Network LLC | Surgery | Current | Accepting new patients |
Locations
200 Herlong Ave S
Ste G
Rock Hill, SC 29732
Phone (803) 325-1770
200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950
200 Herlong Ave S
Ste C
Rock Hill, SC 29732
Phone (803) 323-2775
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
- joliette.grace.1@14929.direct.athenahealth.com
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1104146133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13111 BRIDGEPORT XING",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342114002",
"telephone_number": "573-703-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HERLONG AVE S STE G",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321182",
"telephone_number": "803-909-6300",
"fax_number": "803-909-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "JOLIETTE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "93469",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME133013",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME133013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLIETTE",
"last_name": "BARNUM",
"middle_name": "NICOLE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.