Active NPI
Jodi Dee Grainger, FNP
- Family Nurse Practitioner
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19278
- Practice address
- 9021 Bella Verde CT
Myrtle Beach, SC 29579-5110 - Phone
- (843) 516-2024
- Fax
- (843) 796-1319
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19278 | SC | Primary |
Addresses
Primary practice location
9021 Bella Verde CT
Myrtle Beach, SC 29579-5110
Mailing address
PO Box 70157
Myrtle Beach, SC 29572-0021
Phone (843) 516-2024
Other practice location 1
8002 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 347-7227
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Midland Pkwy
Summerville, SC 29485-8104
Phone (737) 226-6700
6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Medicos, P.a. | Current | Accepting new patients | |
| CH Specialty Services SC LLC | Family | Current | Accepting new patients |
Locations
6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Internal Medicine Physician
- North Myrtle Beach, SC
- NPI 1548024540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1528458585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70157",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295720021",
"telephone_number": "843-516-2024",
"fax_number": "843-796-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9021 BELLA VERDE CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295795110",
"telephone_number": "843-516-2024",
"fax_number": "843-796-1319"
}
],
"practiceLocations": [
{
"address_1": "8002 Myrtle Trace Dr",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268945",
"country_code": "US",
"telephone_number": "843-347-7227",
"fax_number": "843-347-7232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAINGER",
"first_name": "JODI",
"middle_name": "DEE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
- Elizabeth Ann Gowdy, PHD, LISW-CP, MSW
- Michelle Gowen, MS
- Paola Goyeneche, LPC
- Graceful Tides Counseling Service LLC
- Lauri B. Graham, O.D.
- Grand Strand Dermatology
- Grand Strand Family and Esthetic Dentistry
- Grand Strand Family and Esthetic Dentistry
- Grand Strand Family and Esthetic Dentistry
- Grand Strand Gynecology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.