Jordan J Grnak, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MDO.83463 Issued in SC

Practice address

5 S Lewis PLZ
Greenville, SC 29605-2944

Phone

(864) 242-4122

NPI assigned

Mar 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgrnak383986@direct.beaumont.edu
• Direct secure messaging: jgrnak1151638@direct.bsmhealth.org

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.

• St Francis Physician Services Inc

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1871895771
  Medicare reassignment Care Compare group NPD
• St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1811326820
  NPD
• St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295769438

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Francis Hospital Inc

  • Clinic/Center
  • Greenville, SC
  • NPI 1104052752

  Hospital

  Care Compare affiliation
• St Francis Hospital Inc

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1730123175
  Care Compare affiliation
• St Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1467496802
  Care Compare affiliation
• St Francis Hospital, Inc.

  • Clinical Medical Laboratory
  • Greenville, SC
  • NPI 1972127017

  Hospital

  Care Compare affiliation
• St. Francis Hospital Inc

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1023418035
  Care Compare affiliation
• St. Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1376899856
  Care Compare affiliation

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1922501204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S LEWIS PLZ",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052944",
            "telephone_number": "864-242-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S LEWIS PLZ",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052944",
            "telephone_number": "864-242-4122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Fort St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481834601",
            "country_code": "US",
            "telephone_number": "734-671-3297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33155 Annapolis St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842405",
            "country_code": "US",
            "telephone_number": "734-467-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRNAK",
        "first_name": "JORDAN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101025371",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MDO.83463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrnak383986@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "33155 Annapolis St",
            "city": "Wayne",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481842405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan_grnak@bshsi.org",
            "affiliation": "N",
            "address_1": "5 S Lewis Plz",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296052944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronald James Grisanti, D.C.
• David Lawrence Grisell, DO
• Matthew Paul Grisham, MD
• William Grissom, ATC
• Kimberly Grisson
• Tonjia Groblewski, M. ED.
• Tywana Groce, D.M.D.
• Cameron Groen, LMFT
• Pearson Groom
• Amanda Lee Groome, AGNP-C

• Internal Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.