Individual provider Active NPI

Anne Louise Grogan-Hanford, AGPCNP-BC, ACNS-BC

  • Gerontology Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1922511054
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4337 Issued in SC
Practice address
1317 Quail Vly W
Columbia, SC 29212-1554
Phone
(803) 807-9197
NPI assigned
Nov 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4337 SC Primary

Addresses

Primary practice location

1317 Quail Vly W
Columbia, SC 29212-1554

Mailing address

1317 Quail Vly W
Columbia, SC 29212-1554
Phone (803) 807-9197

Other practice location 1

106 Windermere Village Way
Blythewood, SC 29016-8281
Phone (609) 848-4826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4337SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Rehabilitation, LLC CurrentSince Nov 20, 2017 Accepting new patients

Organizations & group practices 1

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": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922511054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 QUAIL VLY W",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121554",
            "telephone_number": "803-807-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 QUAIL VLY W",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121554",
            "telephone_number": "803-807-9197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Windermere Village Way",
            "address_purpose": "LOCATION",
            "city": "Blythewood",
            "state": "SC",
            "postal_code": "290168281",
            "country_code": "US",
            "telephone_number": "609-848-4826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROGAN-HANFORD",
        "first_name": "ANNE",
        "middle_name": "LOUISE",
        "credential": "AGPCNP-BC, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "4337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.