BONNIE J GRISSOM RN NPI 1003016650

Registered Nurse (Diabetes Educator) in Columbia, SC

NPI 1003016650 Individual Female Registered Nurse Diabetes Educator

About BONNIE GRISSOM

Bonnie Grissom is a provider established in Columbia, South Carolina and her medical specialization is registered nurse (diabetes educator) . The NPI number of Bonnie Grissom is 1003016650 and was assigned on July 2007. The practitioner's primary taxonomy code is 163WD0400X with license number 64034 (SC). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Bonnie Grissom is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003016650

Provider Name BONNIE J GRISSOM RN
Provider Location AddressPALMETTO HEALTH BAPTIST DIABETES EDUCATION 1333 TAYLOR STREET; SUITE 4-E COLUMBIA, SC 29201
Provider Mailing AddressPALMETTO HEALTH BAPTIST DIABETES EDUCATION 1333 TAYLOR STREET; SUITE 4-E COLUMBIA, SC 29201
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-23-2007
Last Update Date07-23-2007


Primary Taxonomy

Taxonomy Code163WD0400X
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationDiabetes Educator
License No.64034
License StateSC

Business Address

BONNIE J GRISSOM RN
PALMETTO HEALTH BAPTIST DIABETES EDUCATION
1333 TAYLOR STREET; SUITE 4-E
COLUMBIA, SC
ZIP 29201
Phone: (803) 296-3956
Fax: (803) 296-8908

Get Directions


Mailing Address

BONNIE J GRISSOM RN
PALMETTO HEALTH BAPTIST DIABETES EDUCATION
1333 TAYLOR STREET; SUITE 4-E
COLUMBIA, SC
ZIP 29201
Phone: (803) 296-3956
Fax: (803) 296-8908



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
64034OTHER (01)SC

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194859991 NELL S HAIR RN BSN CDE
Individual
Registered Nurse (Diabetes Educator)PALMETTO HEALTH BAPTIST DIABETES EDUCATION 1333 TAYLOR STREET SUITE 4 E
COLUMBIA, SC 29201
(803) 296-3956

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.