Individual provider Active NPI

Stephen D. Grubb, MD

  • Family Medicine Physician
  • Little River, SC
National Provider Identifier
1689672784
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7841 Issued in SC
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E16113MedicaidSC
0363OtherNCCIGNA MEDICARE
2315069OtherNCCIGNA MEDICARE
5950653MedicaidNC
890291HMedicaidNC
CA9980OtherNCRAILROAD MEDICARE
561243962OtherSCBCBS
570941629OtherSCBCBS
5950176MedicaidNC

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
I20101014001005 SC Practitioner - Family PracticePractitioner - Internal Medicine 0749219350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Washington University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1624 Main St
Columbia, SC 29201-2818
Phone (803) 454-0365

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22475NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Mar 1, 2018 Accepting new patients
Calabash Medical Center,PA Family Medicine CurrentSince Oct 11, 1993 Accepting new patients
SC House Calls Inc Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
Your Health Primary Care of SC, LLC Family Medicine CurrentSince Dec 31, 2025 Accepting new patients
Waterway Family Medicine, PA Family Medicine CurrentSince Oct 15, 1991 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.