JACQUELINE JOYCE PEEBLES GRANGER M.D.
NPI 1457438368
Pediatrics - Pediatric Emergency Medicine in Greenville, SC
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
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Granger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, SC 29605
- Reassigned Medicare billing, South Carolina enrollment
- 413 clinicians in this Medicare group
Greenville, SC 29605
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
GREENVILLE, SC 29605
GREENVILLE, SC 29605
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.
Which organizations bill Medicare for Jacqueline Granger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Granger reassigns Medicare benefits to 2 organizations: Prisma Health-Upstate (Greenville, SC) and Prisma Health University Medical Group (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Granger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Granger was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jacqueline Joyce Peebles Granger, M.D. · NPI 1457438368
Pediatric Emergency Medicine physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1457438368 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 27145 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 GROVE RD, Greenville, SC 29605-4210
- **Phone:** (864) 455-7899 · **Fax:** (864) 455-5474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prisma Health-Upstate (NPI 1649726738, Greenville, SC); Prisma Health University Medical Group (NPI 1053786483, Greenville, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2022
- **Other identifiers:** Medicaid 271459 (SC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1457438368) · Data from the CMS NPPES public registry.