Kristine McGruder, M.D.
Individual provider Active NPI Family Medicine Physician · Rock Hill, SC
NPI 1497955413 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1497955413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27871 (SC)
- Practice address
- 2174 Cherry Rd
Rock Hill, SC 29732-2160 - Phone
- (803) 325-8280
- Fax
- (803) 325-8281
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Physician Network LLC
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
- Centerwell Home Health
- Neighbors Care Home Health Agency, an Amedisys Co
- Bayada Home Health Care-Rock Hill
- Adoration Home Health
- Piedmont Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110302000858 | SC | Practitioner - Family Practice |
9032391628 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27871 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Physician Network LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
515 Rivercrossing Dr
Ste 180
Fort Mill, SC 29715
Phone (803) 547-7541
502 6th Baxter Xing
Fort Mill, SC 29708
Phone (803) 396-8100
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
200 Herlong Ave S
Ste E
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
- kristine.mcgruder.1@14929.direct.athenahealth.com
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27871 | SC | Yes |
| 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
Other providers in Rock Hill, SC
- Margaret Hughes McFadden
- Rachel McGarvey
- Samuel McGee III
- Carmen Woschkolup McGinnis
- Tonya McGriff
- Heather Nicole McHenry
- Quadasha D McIlwaine
- Quinndolyn McInnis
- Austin Lee Roach McJunkins
- Karen McKay
All providers in Rock Hill, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.