MADELEINE PRESSLEY GRUMBLES


Address: 890 W Faris Rd Ste 100, Greenville, SC 29605-4285
Phone: 8644552888

MADELEINE PRESSLEY GRUMBLES (NPI# 1427427335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427427335
Entity Type Individual
Full Name MADELEINE PRESSLEY GRUMBLES
Other Name MADELEINE CHERIE PRESSLEY
Credential PA
Practice Address 890 W Faris Rd Ste 100
Greenville
SC 29605-4285
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Practice Telephone 8644552888
Mailing Telephone 8647976044
Enumeration Date 2015-09-21
Last Update Date 2017-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2418 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC PENDING 05

Office Location

Street Address 890 W FARIS RD STE 100
City GREENVILLE
State SC
Zip Code 29605-4285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992867956 Charles David Whiting Physician Assistant 890 W Faris Rd Ste 100, Greenville, SC 29605 2006-12-15
1679190284 Meredith Todd Rivenbark Internal Medicine 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2020-06-30
1427674282 Jessica Perry Shirah Nurse Practitioner 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2020-06-17
1538724992 Nicolette Orsky Physician Assistant 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2019-05-01
1780154807 Rana Abedini Physician Assistant 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2018-12-01
1245708395 Lauren Elizabeth Maxwell Physician Assistant 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2018-11-07
1073026126 Tabitha Jones Moore Nurse Practitioner 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2017-11-12
1861916363 Gerald James Sprout Jr. Physician Assistant 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2017-07-27
1649684077 Kalpit Himmatbhai Devani Internal Medicine 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2014-06-13
1053748491 Kathleen Elizabeth Tarpy Physician Assistant 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2013-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104116664 Jennifer C Whitmire Physician Assistant St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 2011-04-18
1306143219 Alexis Pierino Goss Physician Assistant 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 2011-02-13
1477888196 Johnny Johnson Physician Assistant 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 2009-10-14
1205915360 Dannie Burton Jonas Physician Assistant 505 Greenville Blvd Se, Greenville, NC 27858-6736 2006-11-02
1952324246 Toni Smith-whiteeagle Physician Assistant 5005 Live Oak St, Greenville, TX 75402 2006-07-26
1699719682 Gary Marc Trube Physician Assistant 800 Moye Blvd, Greenville, NC 27834-3777 2006-06-16
1255384335 Dean A Schrader Physician Assistant 8333 Crestview Dr, Greenville, MI 48838-8133 2006-05-18
1043262983 Katherine Johnson Anderson Physician Assistant 215 Halton Rd, Greenville, SC 29607-3509 2006-05-17
1891767398 Allen J Sours Jr. Physician Assistant Physician's Prime Care, 3535 S. Memorial Dr. Suite C, Greenville, NC 27834-6766 2006-02-07
1053383273 Zenith Nelson Physician Assistant Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 2006-02-02
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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