Stephen D Grubb (NPI# 1689672784, PAC ID# 0749219350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689672784 |
| PAC ID by PECOS | 0749219350 |
| Professional Enrollment ID | I20101014001005 |
| Full Name | Stephen D Grubb |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Address |
1624 Main St Columbia SC 29201-2818 |
| Phone Number | 8034540365 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800994807 |
| Number of Group Practice Members | 128 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420105 | MCLEOD LORIS HOSPITAL |
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 340068 | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1624 Main St, Columbia, SC 29201-2818 | 8034540365 | AGAPE SENIOR PRIMARY CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June Clark | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Lawrence K Bennett | Family Medicine | Agape Senior Primary Care Inc | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 |
| Charles Busse | Family Medicine | Agape Senior Primary Care Inc | 910 M Gilead Dr, Suite B 1, Murrells Inlet, SC 29576-7792 |
| Jeffrey D Hook | Internal Medicine | Agape Senior Primary Care Inc | 1614 Main St C, Columbia, SC 29201-2860 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Sophie M Fowler | Nurse Practitioner | Agape Senior Primary Care Inc | 9302 Medical Plaza Dr, Charleston, SC 29406-9142 |
| Patrick K Ryan | Family Medicine | Agape Senior Primary Care Inc | 4600 Oleander Dr C, Myrtle Beach, SC 29577-5897 |
| Erin L Miller | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Tara Madden | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Street Address |
1624 MAIN ST |
| City | COLUMBIA |
| State | SC |
| Zip | 29201-2818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Ress | Physical Therapy | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Ashley M Fann | Physical Therapy | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Donald S Niedringhaus | Physical Therapy | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Stephanie H. Reyner | Occupational Therapy | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Keli L Mchale | Occupational Therapy | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Meghan Leslie Keogh | Speech Language Pathologist | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Samantha Agerton Adams | Occupational Therapy | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Robin M Rogers | Speech Language Pathologist | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Kristy H Proveaux | Speech Language Pathologist | Ltc Therapy Solutions LLC | 1624 Main St, Columbia, SC 29201-2818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Burguieres | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Aleta Marie Mcgough | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Elizabeth L Baker | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Katelin J Williamson | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Emily Jones Cullen | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Lisa A Cometto | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Dale Eugene Marko | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Eric Karl Winter | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Amy Eileen Jones | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Sarah S Kuhn | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Find all physicians in zip 29201 | |||
| City | COLUMBIA |
| Zip Code | 29201 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COLUMBIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephen D Grubb.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.