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JACQUELINE JOYCE PEEBLES GRANGER M.D.
NPI 1457438368
Pediatrics - Pediatric Emergency Medicine in Greenville, SC

Active since November 01, 2006PECOS Enrolled
701 GROVE RD, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Joyce Peebles Granger M.d. NPPES

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

JACQUELINE JOYCE PEEBLES GRANGER M.D. (NPI 1457438368) is an individual pediatric emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (27145) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457438368
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJACQUELINE JOYCE PEEBLES GRANGERCredential: M.D.
Location Address701 GROVE RDGreenville, SC 29605-4210
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 455-7899
Fax(864) 455-5474
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
✔ NPI 1457438368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in SC · 27145
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 27145 (SC)
701 GROVE RD, Greenville, SC 29605
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Other Identifiers 1

Medicaid271459SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Joyce Peebles Granger M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

ABDULLAH DARVESH
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7882
DANIEL RUIZ
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7882
ALAN ROBERT THOMPSON MD
Hospitalist
701 GROVE RD, 5TH FLOOR
GREENVILLE, SC 29605
Greenville County (864) 455-4411
GEORGE R SWEET CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD, ANESTHESIA DEPT
GREENVILLE, SC 29605
Greenville County (864) 455-7111
CRAIG DOUGLAS YOUNG PHD
Clinical Neuropsychologist
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7000
JENNIFER WEBB GEORGE CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7111
MEENU MARIE VARGHESE D.O.
Internal Medicine
701 GROVE RD, 5TH FLOOR SUPPORT TOWER
GREENVILLE, SC 29605
Greenville County (864) 455-7882
AMANDA TIPTON LARSON CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 522-2286

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 Jacqueline Granger's NPI number?

The NPI number for Jacqueline Granger is 1457438368. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jacqueline Granger located?

Jacqueline Granger practices at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-7899.

What is Jacqueline Granger's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jacqueline Granger enrolled in Medicare?

Yes. Jacqueline Granger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Granger was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.