Active NPI
Stephen D. Grubb, MD
- Family Medicine Physician
- Little River, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7841
- Practice address
- 3600 Sea Mountain Higway
Suite C
Little River, SC 29566 - Phone
- (843) 399-4848
- Fax
- (910) 653-2346
- NPI assigned
- Jul 12, 2005
- Last updated
- Nov 2, 2022
- Sex
- Male
- 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 | 7841 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 22475 | NC |
Addresses
Primary practice location
3600 Sea Mountain Higway
Suite C
Little River, SC 29566
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E16113 | Medicaid | SC | |
| 0363 | Other | NC | CIGNA MEDICARE |
| 2315069 | Other | NC | CIGNA MEDICARE |
| 5950653 | Medicaid | NC | |
| 890291H | Medicaid | NC | |
| CA9980 | Other | NC | RAILROAD MEDICARE |
| 561243962 | Other | SC | BCBS |
| 570941629 | Other | SC | BCBS |
| 5950176 | Medicaid | NC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Washington University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1624 Main St
Columbia, SC 29201-2818
Phone (803) 454-0365
Hospital & facility affiliations
- Well Care Home Health
- Well Care Home Health of the Lowcountry Inc
- Liberty Home Care
- McLeod Loris Hospital
- Columbus Regional Healthcare System
- Grand Strand Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 24 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22475 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| Calabash Medical Center,PA | Family Medicine | Current | Accepting new patients |
| SC House Calls Inc | Family Medicine | Current | Accepting new patients |
| Your Health Primary Care of SC, LLC | Family Medicine | Current | Accepting new patients |
| Waterway Family Medicine, PA | Family Medicine | Current | Accepting new patients |
Locations
10081 Beach Dr SW
Calabash, NC 28467
Phone (800) 579-7971
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
3600 Sea Mountain Hwy
Little River, SC 29566
Phone (843) 399-4848
3600 Sea Mountain Hwy
Ste C
Little River, SC 29566
Phone (843) 399-4848
4000 Highway 9 E
Ste 250
Little River, SC 29566
Phone (843) 366-3891
3439 Casey St
Loris, SC 29569
Phone (843) 756-1582
3612 Mitchell St
Loris, SC 29569
Phone (843) 716-6010
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- stephen.grubb.1@7602.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Family Medicine Physician
- West Columbia, SC
- NPI 1710875141
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
- Family Medicine Physician
- Little River, SC
- NPI 1760481758
-
- Family Medicine Physician
- Calabash, NC
- NPI 1285635219
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grand Strand Medical Center
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
dba Loris Community Hospital
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- Home Health Agency
- Myrtle Beach, SC
- NPI 1124536446
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
dba Liberty Home Care, LLC
- Home Health Agency
- Elizabethtown, NC
- NPI 1154378545
-
dba Liberty Home Care, LLC
- Home Health Agency
- Whiteville, NC
- NPI 1881649887
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1689672784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 SEA MOUNTAIN HIGWAY",
"address_2": "SUITE C",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "29566",
"telephone_number": "843-399-4848",
"fax_number": "910-653-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "STEPHEN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "7841",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "22475",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E16113",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE",
"identifier": "0363",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE",
"identifier": "2315069",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950653",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890291H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA9980",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "561243962",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "570941629",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950176",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.