Individual provider Active NPI

Kathleen Ann Grabowski, MD

  • Internal Medicine Physician
  • Holly Hill, SC
National Provider Identifier
1386728517
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18145 Issued in SC
Practice address
922 Holly St
Holly Hill, SC 29059-2762
Phone
(803) 496-7174
Fax
(803) 496-7928
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18145 SC
Internal Medicine Physician 207R00000X 18145 SC Primary

Addresses

Primary practice location

922 Holly St
Holly Hill, SC 29059-2762

Mailing address

3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900

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
I20080117000483 SC Practitioner - Internal Medicine 5799866547 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Health Care System, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Low Country Health Care System, Inc CurrentSince Jul 1, 2025 Accepting new patients
Coastal House Calls CurrentSince Jul 23, 2018 Accepting new patients
Doctors Plus General Practice Past Accepting new patients
Low Country Health Care System, Inc Past Accepting new patients
Kathleen Grabowski General Practice Past Accepting new patients
Healthy4Life Integrated Medicine, Inc PastSince May 31, 2009 Accepting new patients

Locations

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

1991 Glenns Bay Rd
Ste 102B
Myrtle Beach, SC 29575
Phone (843) 410-0330

Organizations & group practices 7

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1386728517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HOLLY ST",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290592762",
            "telephone_number": "803-496-7174",
            "fax_number": "803-496-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "18145",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Hill, SC

Sources for this page

Verify at the official NPI Registry.