Active NPI
Grace Liang, M.D.
- Hospitalist Physician
- Manning, SC
National Provider Identifier
1609002682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 31688
- Practice address
- 10 E Hospital Street
Hospitalist Department
Manning, SC 29102 - Phone
- (803) 435-8463
- Fax
- (803) 435-5288
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TL31688 | SC | |
| Hospitalist Physician | 208M00000X | 31688 | SC | Primary |
Addresses
Primary practice location
10 E Hospital Street
Hospitalist Department
Manning, SC 29102
Mailing address
PO Box 550
Attn: Credentialing
Manning, SC 29102-0550
Phone (803) 435-5248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31688 | Other | SC | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL31688 | SC | MD | Family Medicine Physician |
| 31688 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Internal Medical Associates, PA | Past | Accepting new patients |
Locations
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
Interoperability endpoints
- gliang24846@directmcleodehealth.org
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.
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- Internal Medicine Physician
- Sumter, SC
- NPI 1790773752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1609002682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"address_2": "ATTN: CREDENTIALING",
"city": "MANNING",
"state": "SC",
"postal_code": "291020550",
"telephone_number": "803-435-5248",
"fax_number": "803-435-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E HOSPITAL STREET",
"address_2": "HOSPITALIST DEPARTMENT",
"city": "MANNING",
"state": "SC",
"postal_code": "29102",
"telephone_number": "803-435-8463",
"fax_number": "803-435-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "GRACE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "TL31688",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "31688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "31688",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.