NPIMap

Individual provider Active NPI

Pamela Sue Grim, MD

  • Emergency Medicine Physician
  • Beaufort, SC
National Provider Identifier
1194704155
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26600 Issued in SC
Practice address
32 Sea Gull Drive
Beaufort, SC 29907-6148
Phone
(843) 441-3104
Fax
(843) 441-3104
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 26600 SC Primary

Addresses

Primary practice location

32 Sea Gull Drive
Beaufort, SC 29907-6148

Mailing address

32 Sea Gull Dr
Beaufort, SC 29907-1314
Phone (843) 441-3104

Other identifiers 1

IdentifierTypeStateIssuer
266009MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000393 SC Practitioner - Emergency Medicine 7810911872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Bestpractices of South Carolina, PC Emergency Medicine Past Accepting new patients
Hillside Emergency Physicians Emergency Medicine Past Accepting new patients
Robertson Emergency Physicians Emergency Medicine Past Accepting new patients
University Emergency Specialists of Bedford LLC Emergency Medicine Past Accepting new patients
Coastal Carolina Medical Center, Inc Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
SC Healthcare Investments, LLC Past Accepting new patients
Serio South Carolina, LLC Emergency Medicine Past Accepting new patients
South Carolina Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1194704155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SEA GULL DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071314",
            "telephone_number": "843-441-3104",
            "fax_number": "843-441-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SEA GULL DRIVE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299076148",
            "telephone_number": "843-441-3104",
            "fax_number": "843-441-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "26600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266009",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.