SUSAN HAMMOND GROSSLIGHT (NPI# 1821100835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821100835 |
Entity Type | Individual |
Full Name | SUSAN HAMMOND GROSSLIGHT |
Credential | RN |
Practice Address |
880 W Moultrie St Suite 200 Winnsboro SC 29180-2411 |
Mailing Address |
Po Box 1218 Winnsboro SC 29180-5218 |
Practice Telephone | 8036356461 |
Practice Fax Number | 8036354200 |
Mailing Telephone | 8036356461 |
Mailing Fax Number | 8036354200 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2012-04-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1400X |
Registered Nurse Specialization: College Health |
R41098 | SC | Nursing Service Providers |
Street Address |
880 W MOULTRIE ST SUITE 200 |
City | WINNSBORO |
State | SC |
Zip Code | 29180-2411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285609081 | Shubha Kudchadkar | Pediatrics | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 | 2006-02-23 |
1578074084 | Kannetria Halona Robinson-davis | Nurse Practitioner | 880 W Moultrie St, Winnsboro, SC 29180-2411 | 2017-10-24 |
1497105258 | James Hill | Nurse Practitioner | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 | 2016-06-13 |
1043695570 | Aimee G Newsom | Nurse Practitioner | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 | 2015-07-27 |
1801100409 | Blue Granite Medical Center | Family Medicine | 880 W Moultrie St, Winnsboro, SC 29180-2411 | 2010-08-06 |
1922294875 | Paula Ann Smith | Nurse Practitioner | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 | 2007-09-24 |
1912913435 | Deborah Lou Stuck | Family Medicine | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 | 2006-08-01 |
1669495917 | Roger A Gaddy | Family Medicine | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-5218 | 2006-07-26 |
1174546287 | Harmon Fairey Patrick | Family Medicine | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
1467019778 | Fairfield County Disabilities and Special Needs Board | Early Intervention Provider Agency | 408 W Washington Street, Winnsboro, SC 29180 | 2019-05-22 |
1922577204 | Kimberly Speaks Steele | Counselor | 178 Us Highway 321 Bypass N, Winnsboro, SC 29180 | 2018-11-16 |
1407376957 | Tiffany L Boyd | Home Health | 409a Crawford St, Winnsboro, SC 29180 | 2017-06-26 |
1588902738 | Margarite H. Mccain | Counselor | 200 Calhoun Street, Winnsboro, SC 29180 | 2013-01-23 |
1710237268 | Elizabeth Caulder | Pharmacist | 27 Us Hwy 321 Bypass South, Winnsboro, SC 29180 | 2012-09-12 |
1801041124 | Jerelyn S Russell | Counselor | 1077 Kincaid Bridge Rd., Winnsboro, SC 29180 | 2008-12-01 |
1164683199 | Kimberly G Kinard | Psychiatry & Neurology | 1073 Us Highway 321 Bypass, Winnsboro Mental Health Center, Winnsboro, SC 29180 | 2008-06-23 |
1467658732 | Winnsboro Chiropractic | Chiropractor | 143 Hwy. 321 Bypass, Winnsboro, SC 29180 | 2007-06-25 |
1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
Find all providers in zip 29180 |
Taxonomy Code | 163WC1400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | College Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
1497031603 | Stephanie Brantley | Registered Nurse | 1530 Harden St, Columbia, SC 29204-1057 | 2011-11-01 |
1699880880 | Mary Hanna | Registered Nurse | 425 Hampton Creek Ct, Columbia, SC 29209-1974 | 2006-08-20 |
1285749598 | Jane B. Munn | Registered Nurse | Thomson Student Health Center Usc, 1409 Devine St., Columbia, SC 29208-0001 | 2006-08-20 |
1942316823 | Karen R Shelly | Registered Nurse | 1409 Devine St, Columbia, SC 29208-0001 | 2006-08-22 |
1528172798 | Linda Diane Lizotte | Registered Nurse | 1409 Devine St, Columbia, SC 29208-0001 | 2006-08-17 |
1346353950 | Janine Reece Wrecsics | Registered Nurse | 1409 Devine St, Columbia, SC 29208-0001 | 2006-08-16 |
Please comment or provide details below to improve the information on SUSAN HAMMOND GROSSLIGHT.
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.