Organization Active NPI

Rooted in Grace Primary Care LLC

  • Clinic/Center
  • Lancaster, SC
National Provider Identifier
1831968338
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROOTED IN GRACE PRIMARY CARE LLC
Practice address
421 W Meeting St Ste B
Lancaster, SC 29720-2321
Phone
(803) 286-6100
Fax
(803) 879-8737
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Mrs. Emily Pettit
Title
Office Manager
Phone
(980) 328-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

421 W Meeting St Ste B
Lancaster, SC 29720-2321

Mailing address

421 W Meeting St Ste B
Lancaster, SC 29720-2321
Phone (803) 286-6100

Other names 1

  • Rooted In Grace Primary Care, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423003775 SC Part B Supplier - Clinic/Group Practice 9032558085 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, SC

National Provider Directory

National Provider Directory

Locations

421 W Meeting St
Lancaster, SC 29720
Phone (803) 285-8700

421 W Meeting St
#B
Lancaster, SC 29720
Phone (803) 286-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1831968338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W MEETING ST STE B",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202321",
            "telephone_number": "803-286-6100",
            "fax_number": "803-879-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W MEETING ST STE B",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202321",
            "telephone_number": "803-286-6100",
            "fax_number": "803-879-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN GRACE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "980-328-3242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted In Grace Primary Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rooted In Grace Primary Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.