Individual provider Active NPI

James A Grzech, FNP

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1275680704
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RX2770 Issued in SC
Practice address
500 S Coit St
Florence, SC 29501-5221
Phone
(843) 667-9947
Fax
(843) 667-0455
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RX2770 SC Primary

Addresses

Primary practice location

500 S Coit St
Florence, SC 29501-5221

Mailing address

500 S Coit St
Florence, SC 29501-5221
Phone (843) 667-9947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2770SCMDGeneral Practice Dentistry
RX2770SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoco Health Connection Past Accepting new patients
Premise Health of South Carolina Medical PC PastSince Dec 16, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.grzech.1@17752.direct.athenahealth.com

Organizations & group practices 2

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1275680704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015221",
            "telephone_number": "843-667-9947",
            "fax_number": "843-667-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015221",
            "telephone_number": "843-667-9947",
            "fax_number": "843-667-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZECH",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "RX2770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.