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LEEANNE JONES GRUMELOT PA
NPI 1215978556
Physician Assistant in Greenville, SC

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
200 PATEWOOD DR STE B480, GREENVILLE, SC 29615(864) 454-4570(864) 454-4575 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, May 27, 2021, May 21, 2021 and 2 more (5 updates tracked since 2018).

About Leeanne Jones Grumelot Pa NPPES

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

LEEANNE JONES GRUMELOT PA (NPI 1215978556) is an individual physician assistant in Greenville, South Carolina, licensed in South Carolina (855) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215978556
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLEEANNE JONES GRUMELOTCredential: PA
Location Address200 PATEWOOD DR STE B480Greenville, SC 29615-6327
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 454-4570
Fax(864) 454-4575
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2003
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 1, 20235 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1215978556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 855
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 PATEWOOD DR STE B480, Greenville, SC 29615
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Secondary Practice Locations 2

Location 1900 W Faris Rd Fl 2Greenville, SC 29605-4255 · Phone (864) 455-5300
Location 21 Doctors DrGreenville, SC 29605-4266 · Phone (864) 572-7001 · Fax (864) 412-0436

Other Identifiers 2

Other855SC · Sc Board Of Medical Exami
Medicaid1525PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leeanne Jones Grumelot Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709934359
PECOS Enrollment IDI20090508000222
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier11 claims330 services$5.38 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims1,450 services$0.11 avg. paid by Medicare
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
2 suppliers17 claims785 services$2.22 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims244 services$3.07 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,611 services$0.31 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier22 claims22 services$30.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. TABITHA JONES MOORE ARNP, NP-C
Nurse Practitioner (Family)
200 PATEWOOD DR STE B480
GREENVILLE, SC 29615
Greenville County (864) 454-4570
MARY KNIGHT FELT PA
Physician Assistant
200 PATEWOOD DR STE B480
GREENVILLE, SC 29615
Greenville County (864) 454-4570
KRISTEN ELIZABETH ROGERS NP
Nurse Practitioner
200 PATEWOOD DR STE B480
GREENVILLE, SC 29615
Greenville County (864) 454-4570
DR. JOSEPH CART DEBRUX JR. M.D.
Plastic Surgery
200 PATEWOOD DR STE B480
GREENVILLE, SC 29615
Greenville County (864) 454-4570
DR. MATTHEW DALE CHETTA M.D.
Plastic Surgery
200 PATEWOOD DR STE B480
GREENVILLE, SC 29615
Greenville County (864) 454-4570

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 Leeanne Grumelot's NPI number?

The NPI number for Leeanne Grumelot is 1215978556. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Leeanne Grumelot located?

Leeanne Grumelot practices at 200 Patewood Dr Ste B480, Greenville, SC 29615. The listed phone number is (864) 454-4570.

What is Leeanne Grumelot's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Leeanne Grumelot enrolled in Medicare?

Yes. Leeanne Grumelot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leeanne Grumelot accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and InStil Health list Leeanne Grumelot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leeanne Grumelot affiliated with any hospitals?

According to CMS data, Leeanne Grumelot is affiliated with Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Leeanne Grumelot was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.