MRS. MARY ELLEN GROFF (NPI# 1013986991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013986991 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELLEN GROFF |
| Credential | APRN |
| Practice Address |
40 Okatie Ctr Blvd Ste 100 Bluffton SC 29909-7519 |
| Mailing Address |
Agape Senior Primary Care Inc 1624 Main Street Columbia SC 29201-2818 |
| Practice Telephone | 8437088888 |
| Practice Fax Number | 8437057024 |
| Mailing Telephone | 8037262350 |
| Mailing Fax Number | 8037539102 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3789 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | R04165 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP1602 | 05 | |
| MD | 121922400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Agape Senior Primary Care Inc, 1053 Center Street, West Columbia, SC 29169 | 8004910909 | 8433532581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285668038 | Mary E Groff | Social Worker | 414 Old Town St, Mountain Crest Counseling, Guntersville, AL 35976 | 2006-07-10 |
| Street Address |
40 OKATIE CTR BLVD STE 100 |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29909-7519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1598379729 | Wellness Institute | Nurse Practitioner | 100 Okatie Center Boulevard North, Okatie, SC 29909 | 2020-09-04 |
| 1649764119 | Sprenger Healthcare of Bluffton, Inc | Skilled Nursing Facility | 60 Okatie Village Drive, Okatie, SC 29909 | 2018-06-19 |
| 1396144291 | Joel Bond | Physical Therapist | 100 Okatie Center Blvd. North, Bluffton, SC 29909 | 2014-08-15 |
| 1528484615 | Barnwell Counseling, LLC | Counselor | 1321 Calhoun Promenade Street, Bluffton, SC 29909 | 2014-03-13 |
| 1508299561 | Katherine Elizabeth Abell | Dentist | 40 Okatie Center Blvd S Ste 302, Okatie, SC 29909 | 2013-08-14 |
| 1578816716 | Costrini Sleep Services, Inc. | Internal Medicine | 8 Okatie Center Blvd., South, Suite 101, Bluffton, SC 29909 | 2012-10-25 |
| 1477845659 | Heart Associate of Hilton Head PC | Internal Medicine | 40 Okatie Boulevard, Suite 100-1, Okatie, SC 29909 | 2011-05-06 |
| 1366740326 | Edward Leonard Meyerink IIi | Pharmacist | 138 Okatie Center Blvd South, (walgreens), Okatie, SC 29909 | 2011-03-01 |
| 1407162944 | Stacey Mae Michaels | Behavioral Analyst | 418 Pinckney Colony Rd, Okate, SC 29909 | 2010-08-22 |
| Find all providers in zip 29909 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697442 | Miranda Elizabeth Moss | Nurse Practitioner | 1 Burnt Church Rd Ste A, Bluffton, SC 29910-6405 | 2019-09-11 |
| 1538462015 | Superior Health and Wellness Inc. | Nurse Practitioner | 163 Bluffton Rd Ste D, Bluffton, SC 29910-6226 | 2010-12-06 |
| 1538185848 | Brenda Michelle Theilen | Nurse Practitioner | 21 Chesterton Ct, Bluffton, SC 29910-7332 | 2006-07-14 |
| 1154359412 | Suzanne W Deckelbaum | Nurse Practitioner | 350 Fording Island Rd Ste 100, Bluffton, SC 29910-5168 | 2006-06-28 |
| 1942244991 | Beth Ann Bish | Nurse Practitioner | 505 E Jefferson St, Suite A, Bluffton, OH 45817-1349 | 2006-06-16 |
| 1548889280 | Salt Marsh Healthcare, LLC | Nurse Practitioner | 21 Chesterton Ct, Bluffton, SC 29910-7332 | 2020-04-13 |
| 1376823864 | Jo Ann Cullen | Nurse Practitioner | 7 Mallett Way, Bluffton, SC 29910-6064 | 2011-08-28 |
| 1255656070 | Kimberly A Bean | Nurse Practitioner | 25 Sherington Dr Ste D, Bluffton, SC 29910 | 2010-04-05 |
| 1003858879 | Bluffton Physician Services LLC | Nurse Practitioner | 1026 S Main St, Bluffton, IN 46714-3614 | 2006-06-13 |
| 1699712901 | Lyn Alexander | Nurse Practitioner | 29 Plantation Park Dr, 202, Bluffton, SC 29910-9001 | 2006-06-02 |
| Find all providers in BLUFFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.