Susan Hammond Grosslight, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17725 Issued in SC

Practice address

880 W Moultrie St
Suite 200
Winnsboro, SC 29180-2411

Phone

(803) 635-6461

Fax

(803) 635-4200

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.grosslight@fmasc.eclinicaldirectplus.com

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.

• Fairfield Medical Associates, LLC

  • Rural Health Clinic/Center
  • Winnsboro, SC
  • NPI 1184737892

  Family Medicine

  Medicare reassignment NPD
• Physician'S Pain and Spine Center, LLC

  • Interventional Pain Medicine Physician
  • West Coumbia, SC
  • NPI 1336475573
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1821100835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291805218",
            "telephone_number": "803-635-6461",
            "fax_number": "803-635-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W MOULTRIE ST",
            "address_2": "SUITE 200",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291802411",
            "telephone_number": "803-635-6461",
            "fax_number": "803-635-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428-2 Mcnulty Rd",
            "address_purpose": "LOCATION",
            "city": "Blythewood",
            "state": "SC",
            "postal_code": "29016",
            "country_code": "US",
            "telephone_number": "803-754-8941",
            "fax_number": "803-635-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSLIGHT",
        "first_name": "SUSAN",
        "middle_name": "HAMMOND",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "SC",
            "license": "R41098",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2030",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger A Gaddy, MD
• Anna Gantt
• Geraldine Glenn, MA, CCC-SLP
• Cheryl Y Goodwin
• Dorothy Ann Greeter, RPT
• Hands That Cherish LLC
• Patricia C Haskins
• Hawthorne Winnsboro Pharmacy Inc.
• Melvin Thomas Haywood, M.ED LPC NCC
• Help Yourself Massage Studio

• Family Medicine Physician in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.