Individual provider Active NPI

Charlotte Hunt Grecco, APN

  • Adult Health Nurse Practitioner
  • Camden, SC
National Provider Identifier
1720026800
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1409 Issued in SC
Practice address
1017 Fair St
Camden, SC 29020-4408
Phone
(803) 424-1260
Fax
(803) 424-1230
NPI assigned
Jun 2, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1409 SC Primary

Addresses

Primary practice location

1017 Fair St
Camden, SC 29020-4408

Mailing address

12612 Challenger Pkwy
Ste. 365
Orlando, FL 32826
Phone (407) 794-0903

Other identifiers 1

IdentifierTypeStateIssuer
001409MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1409SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Orthopaedic Group LLC PastSince Jun 1, 2015 Accepting new patients
Internal Medical Associates, PA PastSince May 14, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1720026800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY",
            "address_2": "STE. 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32826",
            "telephone_number": "407-794-0903",
            "fax_number": "803-424-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FAIR ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204408",
            "telephone_number": "803-424-1260",
            "fax_number": "803-424-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECCO",
        "first_name": "CHARLOTTE",
        "middle_name": "HUNT",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001409",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.