Jeffrey Glenn Gross, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

14505 Issued in SC

Practice address

7620 Trenholm Road Ext
Columbia, SC 29223-1718

Phone

(803) 736-7200

Fax

(803) 736-2116

NPI assigned

Aug 2, 2005

Last updated

Aug 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Retina Center LLCGroup PAC ID 4486741980, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jeffrey.gross.p1@direct.palmettoretina.nextgenshare.com
• Direct secure messaging: jgross@carolinaretinacenter.intellechartdirect.net

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.

• Palmetto Retina Center LLC

  • Ophthalmology Physician
  • West Columbia, SC
  • NPI 1255322806
  Medicare reassignment Care Compare group NPD
• Carolina Retina Center P.a.

  • Retina Specialist (Ophthalmology) Physician
  • Columbia, SC
  • NPI 1205892783
  Authorized official Same address or phone

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1427059351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231718",
            "telephone_number": "803-736-7200",
            "fax_number": "803-736-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231718",
            "telephone_number": "803-736-7200",
            "fax_number": "803-736-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JEFFREY",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "14505",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "SC",
            "license": "14505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL2900",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Grooms
• Stacia Grooms
• Wendy Oaks Grooms, RPH
• William Lee Grooms Jr., PHARM.D.
• Amelia Joan Gross, PHARMACIST
• Kyle Gross
• Thomas P Gross, M.D.
• Alexander Grossberg, LMSW
• Bonnie Simon Grossman, M.D.
• Teresa M Grote, DPT

• Retina Specialist (Ophthalmology) Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Retina Specialist (Ophthalmology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.