Individual provider Active NPI

Holly Lynn Grooms, MSN, APRN, ACNP-BC

  • Adult Health Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1114226792
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4474 Issued in SC
Practice address
2728 Sunset Blvd Ste 300
West Columbia, SC 29169-6502
Phone
(803) 744-4900
Fax
(803) 744-4938
NPI assigned
Mar 21, 2011
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4474 SC Primary

Addresses

Primary practice location

2728 Sunset Blvd Ste 300
West Columbia, SC 29169-6502

Mailing address

PO Box 896258
Charlotte, NC 28289-6258
Phone (803) 744-4900

Other practice location 1

811 W Main St Ste 209
Lexington, SC 29072-2500
Phone (803) 314-9729

Other practice location 2

3016 Longtown Commons Dr Ste 300
Columbia, SC 29229-7864
Phone (803) 744-4900

Other identifiers 2

IdentifierTypeStateIssuer
1114226792OtherNPI
NP1938MedicaidSC

Other names 1

  • Holly Holfert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgrooms8939@direct.lexmed.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000089 SC Practitioner - Nurse Practitioner 4688843485 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Acute Care CurrentSince Nov 14, 2022 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
SC House Calls Inc CurrentSince Mar 21, 2023 Accepting new patients
Lexington Health Inc CurrentSince Jun 19, 2024 Accepting new patients
Three Rivers Medical Associates, PA CurrentSince Jun 12, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jul 12, 2011 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Consultants in Gastroenterology PA CurrentSince Nov 13, 2023 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
SC House Calls Inc CurrentSince Mar 21, 2023 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jul 12, 2011 Accepting new patients
Lexington Health Inc Current Accepting new patients
Three Rivers Medical Associates, PA CurrentSince Jun 12, 2023 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 14, 2022 Accepting new patients
Lexington Health Inc CurrentSince Jun 19, 2024 Accepting new patients
Lexington Health Inc Adult Health Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1330 Haile St
Camden, SC 29020
Phone (803) 432-6771

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

114 Gateway Corporate Blvd
Ste 300
Columbia, SC 29203
Phone (803) 254-3278

1301 Taylor St
Ste 5K
Columbia, SC 29201
Phone (803) 765-2090

1655 Brabham Ave
Ste 220
Columbia, SC 29204
Phone (803) 254-5038

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

3016 Longtown Commons Dr
Ste 300
Columbia, SC 29229

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

7430 College St
Irmo, SC 29063
Phone (803) 732-4001

2351 Augusta Hwy
Lexington, SC 29072
Phone (803) 359-2486

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

811 W Main St
Ste 209
Lexington, SC 29072
Phone (803) 314-9729

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

131 Summerplace Dr
West Columbia, SC 29169
Phone (803) 794-4585

2728 Sunset Blvd
Ste 300
West Columbia, SC 29169
Phone (803) 744-4940

Interoperability endpoints

  • Direct secure messaging: hgrooms379630@direct.musc.edu
  • Direct secure messaging: hgrooms8939@direct.lexmed.com
  • FHIR API: https://api.platform.athenahealth.com/25140/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1114226792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896258",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896258",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD STE 300",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696502",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Main St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722500",
            "country_code": "US",
            "telephone_number": "803-314-9729",
            "fax_number": "803-314-9721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3016 Longtown Commons Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297864",
            "country_code": "US",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "4474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114226792",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1938",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgrooms8939@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 300",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291696502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HOLFERT",
            "credential": "MSN, APRN, ACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.