Individual provider Active NPI

Grace Lott, NP

  • Adult Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1912344201
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18007 Issued in SC
Practice address
9 Hawthorne Park CT
Greenville, SC 29615-3194
Phone
(864) 036-5600
Fax
(864) 603-5601
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 18007 SC Primary

Addresses

Primary practice location

9 Hawthorne Park CT
Greenville, SC 29615-3194

Mailing address

415 Brockman McClimon Rd
Greer, SC 29651-6608
Phone (864) 989-1432

Other practice location 1

201 N Main St
Greenville, SC 29601-2197
Phone (864) 603-5600

Other practice location 2

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone (864) 603-5600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150330001423 SC Practitioner - Nurse Practitioner 3971820044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18007SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040

201 N Main St
Greenville, SC 29601
Phone (864) 603-5600

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

2 Bella Grove Dr
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1912344201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BROCKMAN MCCLIMON RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516608",
            "telephone_number": "864-989-1432",
            "fax_number": "864-989-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAWTHORNE PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153194",
            "telephone_number": "864-036-5600",
            "fax_number": "864-603-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Main St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296012197",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807133",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTT",
        "first_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "18007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.