Individual provider Active NPI

Granger Christian Osborne, MD

  • Obstetrics & Gynecology Physician
  • Mt Pleasant, SC
National Provider Identifier
1477516607
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7468 Issued in SC
Practice address
851 Leonard Fulghum Blvd
Suite 201
Mt Pleasant, SC 29464-3787
Phone
(843) 884-5133
Fax
(843) 849-3343
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7468 SC Primary

Addresses

Primary practice location

851 Leonard Fulghum Blvd
Suite 201
Mt Pleasant, SC 29464-3787

Mailing address

851 Leonard Fulghum Blvd
Suite 201
Mt Pleasant, SC 29464-3787
Phone (843) 884-5133

Other identifiers 1

IdentifierTypeStateIssuer
74680MedicaidSC

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
I20100408000313 SC Practitioner - Obstetrics/Gynecology 3274524533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
80.11
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7468SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

10 Farmfield Ave
Ste A
Charleston, SC 29407
Phone (843) 884-5133

880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330

851 Leonard Fulghum Dr
Ste 201
Mt Pleasant, SC 29464
Phone (843) 884-5133

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1477516607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM BLVD",
            "address_2": "SUITE 201",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643787",
            "telephone_number": "843-884-5133",
            "fax_number": "843-849-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM BLVD",
            "address_2": "SUITE 201",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643787",
            "telephone_number": "843-884-5133",
            "fax_number": "843-849-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "GRANGER",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "7468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74680",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.