Organization Active NPI

Tiger Grove Wellness, LLP

  • Family Nurse Practitioner
  • Pendleton, SC
National Provider Identifier
1891666178
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TIGER GROVE WELLNESS, LLP
Practice address
124 Exchange St Ste B
Pendleton, SC 29670-1312
Phone
(864) 643-5922
NPI assigned
Sep 17, 2025
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Cassandra Treadwell Grover, MSN, APRN, FNP-CNPI 1982230959
Title
Co-Owner
Phone
(386) 479-7955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

124 Exchange St Ste B
Pendleton, SC 29670-1312

Mailing address

124 Exchange St Ste B
Pendleton, SC 29670-1312
Phone (864) 643-5922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260225000288 SC Part B Supplier - Clinic/Group Practice 4880175140 Receives reassigned benefits from 1 practitioner
Practice locations: Pendleton, SC

National Provider Directory

National Provider Directory

Locations

124 Exchange St
#B
Pendleton, SC 29670
Phone (864) 643-5922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1891666178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 EXCHANGE ST STE B",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701312",
            "telephone_number": "864-643-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EXCHANGE ST STE B",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701312",
            "telephone_number": "864-643-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGER GROVE WELLNESS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "TREADWELL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "386-479-7955",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.