NPIMap

Individual provider Active NPI

Colby H Grossman, M.D.

  • Internal Medicine Physician
  • Summerville, SC
National Provider Identifier
1619952371
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12448 Issued in SC
Practice address
201 Oakbrook LN
Suite 255
Summerville, SC 29485-8215
Phone
(843) 695-8464
Fax
(843) 695-8424
NPI assigned
Dec 14, 2005
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12448 SC Primary

Addresses

Primary practice location

201 Oakbrook LN
Suite 255
Summerville, SC 29485-8215

Mailing address

201 Oakbrook LN Ste 255
Summerville, SC 29485-7538
Phone (843) 695-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000239 SC Practitioner - Internal Medicine 7719965789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Oakbrook LN
Suite 255
Summerville, SC 29485-7538
Phone (843) 851-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Grossman Vip Internal Medicine LLC Internal Medicine CurrentSince Jan 31, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 1, 2009 Accepting new patients
Palmetto Internal Medicine of Summerville PC Internal Medicine CurrentSince Jan 1, 1988 Accepting new patients
Palmetto Primary Care Physicians, LLC Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
Palmetto Rehab of Charleston LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 695-8464

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Interoperability endpoints

  • Direct secure messaging: colby.grossman.1@27875.direct.athenahealth.com

Organizations & group practices 6

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 12

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1619952371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAKBROOK LN STE 255",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857538",
            "telephone_number": "843-695-8464",
            "fax_number": "843-695-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAKBROOK LN",
            "address_2": "SUITE 255",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858215",
            "telephone_number": "843-695-8464",
            "fax_number": "843-695-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "COLBY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "12448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.