Individual provider Active NPI

Joseph M Grossman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Florence, SC
National Provider Identifier
1285674713
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
29272 Issued in SC
Practice address
805 Pamplico Hwy
Pee Dee Pathology Suite B-210
Florence, SC 29505-6019
Phone
(843) 664-4314
NPI assigned
Jun 6, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 209874 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 29272 SC Primary

Addresses

Primary practice location

805 Pamplico Hwy
Pee Dee Pathology Suite B-210
Florence, SC 29505-6019

Mailing address

805 Pamplico Hwy
Pee Dee Pathology Suite B-210
Florence, SC 29505-6019
Phone (843) 664-4314

Other identifiers 2

IdentifierTypeStateIssuer
292720MedicaidSC
5904721MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000111 SC Practitioner - Pathology 8729071949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pee Dee Pathology Associates IncGroup PAC ID 3971499450, 12 clinicians

Practice addresses (Care Compare)

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (843) 339-4177

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 390-8356

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 664-4314

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pee Dee Pathology Associates Inc. CurrentSince Aug 1, 2006 Accepting new patients
Pee Dee Pathology Associates Inc. Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2006 Accepting new patients
Atrius Health, Inc. Past Accepting new patients

Locations

3555 N Williamsburg County Hwy
Cades, SC 29518
Phone (843) 210-5000

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

805 Pamplico Hwy
Ste 210
Florence, SC 29505

805 Pamplico Hwy
Ste B210
Florence, SC 29505
Phone (843) 664-4314

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

101 McLeod Health Blvd
Myrtle Beach, SC 29579
Phone (843) 646-2800

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1285674713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "address_2": "PEE DEE PATHOLOGY SUITE B-210",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056019",
            "telephone_number": "843-664-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "address_2": "PEE DEE PATHOLOGY SUITE B-210",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056019",
            "telephone_number": "843-664-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "209874",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "29272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292720",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904721",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.