JOSEPH P GRANT M.D.
NPI 1639135239
General Practice in Sumter, SC
NPI Status: Active since April 22, 2006
Contact Information
325 BROAD ST
SUITE 100
SUMTER, SC
ZIP 29150
Phone: (803) 773-5227
Fax: (803) 753-9312
- Individual
- Male
- Years of Experience 48
- General Practice
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JOSEPH GRANT
This page provides the complete NPI Profile along with additional information for Joseph Grant, a primary care provider established in Sumter, South Carolina with a medical specialization in General Practice and more than 48 years of experience. The healthcare provider is registered in the NPI registry with number 1639135239 assigned on April 2006. The practitioner's primary taxonomy code is 208D00000X with license number 33418 (SC). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1639135239
- Provider Name
- JOSEPH P GRANT M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 325 BROAD ST SUITE 100 SUMTER, SC 29150
- Location Phone
- (803) 773-5227
- Location Fax
- (803) 753-9312
- Mailing Address
- 325 BROAD ST 100 SUMTER, SC 29150
- Mailing Phone
- (803) 773-5227
- Mailing Fax
- (803) 753-9312
- Medical School Name
- OTHER
- Graduation Year
- 1978
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-22-2006
- Last Update Date
- 12-09-2019
- Code Navigator
A primary care provider (PCP) like Joseph Grant sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 33418
- License State
- SC
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | D0023981 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze with Atrium Health - HMO
- Blue Direction Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 40 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Premier - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Essential - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
- UHC Bronze Essential - HMO
- UHC Bronze Essential- - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard Plus Chiro - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard Plus Chiro - HMO
- UHC Silver Advantage - HMO
- UHC Silver Advantage+ (Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
- UHC Silver Standard- - HMO
- UHC Silver Standard Plus Chiro - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Joseph Grant is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Joseph Grant is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3072790385
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110712000543
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 65% | 113 |
| Cervical Cancer Screening | 63% | 593 |
| Closing the Referral Loop: Receipt of Specialist Report | 8% | 128 |
| Colorectal Cancer Screening | 28% | 321 |
| Controlling High Blood Pressure | 50% | 144 |
| Diabetes: Eye Exam | 18% | 120 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 32% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 120 |
| Documentation of Current Medications in the Medical Record | 84% | 2433 |
| Falls: Screening for Future Fall Risk | 33% | 67 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 63% | 1141 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 24% | 1411 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 36% | 1986 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 53% | 871 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 58% | 24 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 54% | 871 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 77% | 153 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 73 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 77 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 77 |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639135239, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639135239, enumerated as an "individual" on April 22, 2006.
The provider is located at 325 BROAD ST SUITE 100 SUMTER, SC 29150 and the phone number is (803) 773-5227.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
