Individual provider Active NPI

Kristine McGruder, M.D.

  • Family Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1497955413
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27871 Issued in SC
Practice address
2174 Cherry Rd
Rock Hill, SC 29732-2160
Phone
(803) 325-8280
Fax
(803) 325-8281
NPI assigned
Jul 18, 2007
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27871 SC Primary
Emergency Medicine Physician 207P00000X 27871 SC

Addresses

Primary practice location

2174 Cherry Rd
Rock Hill, SC 29732-2160

Mailing address

1023 Creekside Medical Dr
York, SC 29745-8624
Phone (803) 684-3738

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
I20110302000858 SC Practitioner - Family PracticePractitioner - General Practice 9032391628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

200 Herlong Ave S
Rock Hill, SC 29732-1182

2633 Celanese Rd
Rock Hill, SC 29732-1205
Phone (803) 325-1770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27871SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Emergency Medicine CurrentSince Oct 23, 2017 Accepting new patients
Piedmont General Surgery Associates, LLC Past Accepting new patients

Locations

502 6th Baxter Xing
Fort Mill, SC 29708
Phone (803) 396-8100

515 Rivercrossing Dr
Ste 180
Fort Mill, SC 29715
Phone (803) 547-7541

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste G
Rock Hill, SC 29732
Phone (803) 325-1770

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

2633 Celanese Rd
Rock Hill, SC 29732
Phone (803) 325-1770

1023 Creekside Medical Dr
York, SC 29745
Phone (803) 684-3730

1795 Devinney Rd
York, SC 29745
Phone (803) 335-0780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • Direct secure messaging: kristine.mcgruder.1@14929.direct.athenahealth.com

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, 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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1497955413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 CREEKSIDE MEDICAL DR",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458624",
            "telephone_number": "803-684-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 CHERRY RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322160",
            "telephone_number": "803-325-8280",
            "fax_number": "803-325-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRUDER",
        "first_name": "KRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27871",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "27871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.