Individual provider Active NPI

Joseph P Grant, M.D.

  • General Practice Physician
  • Sumter, SC
National Provider Identifier
1639135239
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33418 Issued in SC
Practice address
325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone
(803) 773-5227
Fax
(803) 753-9312
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0023981 MD
General Practice Physician 208D00000X 33418 SC Primary

Addresses

Primary practice location

325 Broad St
Suite 100
Sumter, SC 29150-4167

Mailing address

325 Broad St 100
Sumter, SC 29150-4167
Phone (803) 773-5227

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
I20110712000543 SC Practitioner - Emergency MedicinePractitioner - General Practice 3072790385 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0023981MDMDEmergency Medicine Physician
33418SCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. Current Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Feb 1, 2016 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Oct 9, 2019 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Oct 9, 2019 Accepting new patients
Unity Health on Main CurrentSince Feb 27, 2019 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Feb 1, 2016 Accepting new patients
Osler Drive Emergency Physcians Associates, P.a. Emergency Medicine PastSince Apr 11, 2021 Accepting new patients
Allcare VA Inc Past Accepting new patients
Woodruff Road Urgent Care Center, P.C. PastSince Dec 29, 2019 Accepting new patients
Yardmore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Doctors Care, PA Emergency Medicine Past Accepting new patients
Capital Healthcare PC Dba Allcare Past Accepting new patients
Charles Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

505 N Main St
Ste C
Greenville, SC 29601
Phone (864) 232-2734

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

8063 Edmund Hwy
Pelion, SC 29123
Phone (803) 894-3736

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14006/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joseph.grant.1@14006.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1639135239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BROAD ST 100",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504167",
            "telephone_number": "803-773-5227",
            "fax_number": "803-753-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BROAD ST",
            "address_2": "SUITE 100",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504167",
            "telephone_number": "803-773-5227",
            "fax_number": "803-753-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0023981",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "33418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.