Organization Active NPI

Patricia R. Grant, MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Pawley's Island, SC
National Provider Identifier
1902081078
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
30449 Issued in SC
Legal business name
PATRICIA R. GRANT, MD PA
Practice address
313B Commerce Dr
Pawleys Island, SC 29585-6052
Phone
(843) 894-0978
Fax
(843) 894-1106
NPI assigned
Jan 8, 2008
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Patricia R Grant, MDNPI 1508841156
Title
Owner
Phone
(843) 894-0978

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
Pain Medicine (Anesthesiology) Physician 207LP2900X 30449 SC Primary

Addresses

Primary practice location

313B Commerce Dr
Pawleys Island, SC 29585-6052

Mailing address

PO Box 2130
Pawleys Island, SC 29585-2130
Phone (843) 894-0978

Other identifiers 1

IdentifierTypeStateIssuer
304496MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000209 SC Part B Supplier - Clinic/Group Practice 5698858348 Receives reassigned benefits from 2 practitioners
Practice locations: Pawleys Island, SC

National Provider Directory

National Provider Directory

Locations

313B Commerce Dr
Pawleys Island, SC 29585
Phone (843) 894-0978

Practitioners & affiliated clinicians

Practitioners 5

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1902081078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2130",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295852130",
            "telephone_number": "843-894-0978",
            "fax_number": "854-212-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313B COMMERCE DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856052",
            "telephone_number": "843-894-0978",
            "fax_number": "843-894-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA R. GRANT, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-894-0978",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "30449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304496",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.