1. Home
  2. Directory
  3. South Carolina
  4. Orangeburg
  5. Clinic Center
  6. NPI Profile

GROSS FAMILY PRACTICE LLC
NPI 1083961114
Clinic/Center - Rural Health in Orangeburg, SC

Active since August 08, 2012CLIA 42D1043549 · Waiver
970 HOLLY ST, ORANGEBURG, SC 29115(803) 531-2722(803) 531-2743 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gross Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GROSS FAMILY PRACTICE LLC (NPI 1083961114) is a healthcare organization registered as a rural health in Orangeburg, South Carolina and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Verdell F Haygood, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083961114
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGROSS FAMILY PRACTICE LLC
Location Address970 HOLLY STOrangeburg, SC 29115-4930
Mailing Address970 Holly StOrangeburg, SC 29115-4930 · (803) 531-2722 · Fax (803) 531-2743
Phone(803) 531-2722
Fax(803) 531-2743
Organization SubpartNo
Authorized OfficialVerdell F HaygoodOffice Manager · (803) 531-2722
Enumeration DateAugust 8, 2012
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1083961114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0646 (SC)
970 HOLLY ST, Orangeburg, SC 29115
Open in Google Maps ↗

Other Identifiers 3

OtherH410155677SC · Medicare Id
Medicare UPINH41015SC
MedicaidT00617SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1043549

Gross Family Practice Rachael E Gross Do · Orangeburg, SC
Active · expires Jul 26, 2027
CLIA Number42D1043549
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorRachael E. Gross Do
Laboratory Phone(803) 531-2722
Laboratory LocationGross Family Practice Rachael E Gross Do970 Holly St, Orangeburg, SC 29115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN SUZANNE CASTELLANO A.P.R.N
Nurse Practitioner (Adult Health)
970 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2722
GROSS FAMILY PRACTICE LLC
Family Medicine
970 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2722
KELLY DELAINE FRAZIER APRN
Nurse Practitioner (Family)
970 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2722
DR. RACHAEL E GROSS DO
Family Medicine
970 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2722
DR. LAWTON HARIS SALLEY MD
Internal Medicine
970 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 534-5929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gross Family Practice LLC's NPI number?

The NPI number for Gross Family Practice LLC is 1083961114. It was assigned to this organization in the NPPES registry on August 8, 2012.

Where is Gross Family Practice LLC located?

Gross Family Practice LLC is located at 970 Holly St, Orangeburg, SC 29115. The listed phone number is (803) 531-2722.

What is Gross Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Gross Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1043549) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gross Family Practice LLC was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.