NPIMap

Individual provider Active NPI

Robert Louis De Grood, MD

  • Surgery Physician
  • Mullins, SC
National Provider Identifier
1841248085
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17113 Issued in SC
Practice address
119 W Lowman St
Mullins, SC 29574-3107
Phone
(843) 464-4000
Fax
(843) 464-4017
NPI assigned
May 4, 2006
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17113 SC
Surgery Physician 208600000X 17113 SC Primary

Addresses

Primary practice location

119 W Lowman St
Mullins, SC 29574-3107

Mailing address

PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 464-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdegrood254181@direct.musc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000842 SC Practitioner - General Surgery 6305987231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2829 E Hwy 76
Mullins, SC 29574-6035
Phone (803) 581-2800

2845 E Hwy 76
Mullins, SC 29574-6037

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505-6047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux28
Melanoma (skin cancer) excision1-10
Removal of tissue47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17113SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Carolina Family Care, Inc Surgery CurrentSince Mar 1, 2019 Accepting new patients
Musc Community Physicians Surgery Current Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Southern Surgical, PA Specialist PastSince Dec 15, 1995 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

119 W Lowman St
Mullins, SC 29574
Phone (843) 464-4000

2845 E Highway 76
Ste 3
Mullins, SC 29574
Phone (843) 431-2730

2845 E Highway 76
Ste 5
Mullins, SC 29574
Phone (843) 431-2280

Interoperability endpoints

  • Direct secure messaging: rdegrood254181@direct.musc.edu

Organizations & group practices 7

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 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1841248085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "843-464-4000",
            "fax_number": "843-464-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W LOWMAN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743107",
            "telephone_number": "843-464-4000",
            "fax_number": "843-464-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GROOD",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "17113",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "17113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdegrood254181@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "119 W Lowman St",
            "city": "Mullins",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295743107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.