JOSEPH P GRANT M.D.
NPI 1639135239
General Practice in Sumter, SC
NPI Status: Active since April 22, 2006
Contact Information
325 BROAD ST
SUITE 100
SUMTER, SC
ZIP 29150
Phone: (803) 773-5227
Fax: (803) 753-9312
- Individual
- Male
- Years of Experience 48
- General Practice
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JOSEPH GRANT
This page provides the complete NPI Profile along with additional information for Joseph Grant, a primary care provider established in Sumter, South Carolina with a medical specialization in General Practice and more than 48 years of experience. The healthcare provider is registered in the NPI registry with number 1639135239 assigned on April 2006. The practitioner's primary taxonomy code is 208D00000X with license number 33418 (SC). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1639135239
- Provider Name
- JOSEPH P GRANT M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 325 BROAD ST SUITE 100 SUMTER, SC 29150
- Location Phone
- (803) 773-5227
- Location Fax
- (803) 753-9312
- Mailing Address
- 325 BROAD ST 100 SUMTER, SC 29150
- Mailing Phone
- (803) 773-5227
- Mailing Fax
- (803) 753-9312
- Medical School Name
- OTHER
- Graduation Year
- 1978
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-22-2006
- Last Update Date
- 12-09-2019
- Code Navigator
A primary care provider (PCP) like Joseph Grant sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 33418
- License State
- SC
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | D0023981 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage - HMO
- UHC Silver Advantage+ (Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Joseph Grant is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Joseph Grant is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3072790385
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110712000543
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 0% | 20 |
| Breast Cancer Screening | 74% | 91 |
| Cervical Cancer Screening | 68% | 468 |
| Closing the Referral Loop: Receipt of Specialist Report | 4% | 23 |
| Diabetes: Eye Exam | 20% | 94 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 31% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 94 |
| Diabetes: Medical Attention for Nephropathy | 85% | 94 |
| Documentation of Current Medications in the Medical Record | 85% | 1787 |
| Falls: Screening for Future Fall Risk | 7% | 57 |
| Pneumococcal Vaccination Status for Older Adults | 55% | 51 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 48% | 845 |
| Preventive Care and Screening: Influenza Immunization | 43% | 1013 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 33% | 1400 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 77% | 22 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 72% | 664 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 72% | 664 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 57 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 54 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 57 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 3 | 5 | 2 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 3 | 10 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 3 + 1 + 0 + 2 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1639135239 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174630297 | DR. DAVID GLENN WHALEY JR. M.D. Individual | Family Medicine | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1033290093 | DR. JASON M LEONARD M.D. Individual | Family Medicine | 325 BROAD ST STE100 SUMTER, SC 29150 (803) 773-5227 |
| 1023149101 | MRS. KIMBERLY W REISENAUER P.A. Individual | Physician Assistant | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1477746998 | THOMAS LAWMAN LUCAS III MD Individual | Family Medicine | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1073788022 | MR. ADAM SCOTT BAILEY PA-C Individual | Physician Assistant | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1740444223 | MEAGHAN HALL GOSMA CPNP-PC Individual | Nurse Practitioner (Pediatrics) | 325 BROAD ST 100 SUMTER, SC 29150 (803) 773-5227 |
| 1730486838 | MS. HANNA S RIVERS NP Individual | Nurse Practitioner (Family) | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1134471436 | MIRANDA ELIZABETH BOOTH-POPLIN PH Individual | Pharmacist | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1184671075 | DR. CLAYTON R LOWDER M.D. Individual | Family Medicine | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1528494051 | ABIGAIL SLOAN HAM PA-C Individual | Physician Assistant | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1467856930 | MRS. CARRIE ELLIOTT HOSHOUR FNP Individual | Nurse Practitioner (Family) | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1952643124 | LILLIAN STUKES-DOUGLAS DNP Individual | Nurse Practitioner | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1821565334 | GRACE WIELICKI COUCH FNP-C Individual | Nurse Practitioner (Family) | 325 BROAD ST SUMTER, SC 29150 (803) 773-5227 |
| 1124105010 | DR. MITCHELL ROBERT GRUNSKY M.D. Individual | Family Medicine | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1194302679 | STEVEN JON BOSC II PA-C Individual | Physician Assistant (Medical) | 325 BROAD ST SUMTER, SC 29150 (803) 773-5227 |
| 1134138167 | DR. DAVID RUSSELL TRIGG MD Individual | Family Medicine | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 773-5227 |
| 1285912170 | COLONIAL FAMILY PRACTICE, LLC Organization | Pharmacy (Clinic Pharmacy) | 325 BROAD ST SUITE 100 SUMTER, SC 29150 (803) 774-2126 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639135239, enumerated in the NPI registry as an "individual" on April 22, 2006
The provider is located at 325 Broad St Suite 100 Sumter, Sc 29150 and the phone number is (803) 773-5227
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider has more than 48 years of experience.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, First. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider obtained a high score in the following performance measures: Breast Cancer Screening, Diabetes: Medical Attention for Nephropathy, Documentation of Current Medications in the Medical Record, Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
This NPI record was last updated on April 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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