Active NPI
Farrel Irvin Grossman, D.C.
- Sports Physician Chiropractor
- N Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1075
- Practice address
- 283 Dorchester Manor Blvd
N Charleston, SC 29420-8108 - Phone
- (843) 552-8000
- Fax
- (843) 552-0093
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1075 | SC | Primary |
Addresses
Primary practice location
283 Dorchester Manor Blvd
N Charleston, SC 29420-8108
Mailing address
283 Dorchester Manor Blvd
N Charleston, SC 29420-8108
Phone (843) 552-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCH299 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 Oakbrook Lane
Suite 215
Summerville, SC 29485
201 Oakbrook LN
Suite 215
Summerville, SC 29485-7538
Phone (843) 530-4651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | SC | MD | Psychologist |
| 1705 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fig Consulting LLC | Sports Physician | Current | Accepting new patients |
| Fig Consulting LLC | Sports Physician | Current | Accepting new patients |
| Palmetto Rehab of Charleston LLC | Past | Accepting new patients |
Locations
1903 Savannah Hwy
#A
Charleston, SC 29407
Phone (843) 556-0101
201 Oakbrook Ln
Ste 215
Summerville, SC 29485
Phone (843) 530-4651
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.
-
dba Grossman Chiropractic
- Sports Physician Chiropractor
- Summerville, SC
- NPI 1104431444
-
dba Grossman Chiropractic
- Sports Physician Chiropractor
- Summerville, SC
- NPI 1811502354
-
- Physical Therapy Clinic/Center
- Summerville, SC
- NPI 1881663300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336161405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 DORCHESTER MANOR BLVD",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294208108",
"telephone_number": "843-552-8000",
"fax_number": "843-552-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 DORCHESTER MANOR BLVD",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294208108",
"telephone_number": "843-552-8000",
"fax_number": "843-552-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "FARREL",
"middle_name": "IRVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "SC",
"license": "1075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GCH299",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.