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BLUE GRANITE MEDICAL CENTER
NPI 1801100409
Family Medicine in Winnsboro, SC

Active since August 06, 2010
880 W MOULTRIE ST, WINNSBORO, SC 29180(803) 635-0288(803) 635-0262 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Granite Medical Center NPPES

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

BLUE GRANITE MEDICAL CENTER (NPI 1801100409) is a healthcare organization registered as a family medicine in Winnsboro, South Carolina and active in the NPI registry since August 2010. The organization lists Anne H Bass, Cfo, as its authorized official.

NPPES Registry Identity

NPI1801100409
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE GRANITE MEDICAL CENTER
Location Address880 W MOULTRIE STWinnsboro, SC 29180-2411
Mailing AddressPo Box 620Winnsboro, SC 29180-0620 · (803) 635-0288
Phone(803) 635-0288
Fax(803) 635-0262
Organization SubpartYesParent: Fairfield Memorial Hospital
Authorized OfficialAnne H BassCfo · (803) 635-0247
Enumeration DateAugust 6, 2010
✔ NPI 1801100409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
880 W MOULTRIE ST, Winnsboro, SC 29180
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

AIMEE G NEWSOM NP
Nurse Practitioner (Family)
880 W MOULTRIE ST, SUITE 200
WINNSBORO, SC 29180
Fairfield County (803) 635-6461
MR. HARMON FAIREY PATRICK MD
Family Medicine
880 W MOULTRIE ST, SUITE 200
WINNSBORO, SC 29180
Fairfield County (803) 635-6487
DR. SHUBHA KUDCHADKAR M.D.
Pediatrics
880 W MOULTRIE ST, SUITE 200
WINNSBORO, SC 29180
Fairfield County (803) 635-6461
KANNETRIA HALONA ROBINSON-DAVIS FNP
Nurse Practitioner (Family)
880 W MOULTRIE ST
WINNSBORO, SC 29180
Fairfield County (803) 815-5555
MR. ROGER A GADDY MD
Family Medicine
880 W MOULTRIE ST, SUITE 200
WINNSBORO, SC 29180
Fairfield County (803) 635-6461
SUSAN HAMMOND GROSSLIGHT NP
Family Medicine
880 W MOULTRIE ST, SUITE 200
WINNSBORO, SC 29180
Fairfield County (803) 635-6461
MARIANNA WILBUR PHARMD
Pharmacist (Ambulatory Care)
880 W MOULTRIE ST
WINNSBORO, SC 29180
Fairfield County (803) 635-6461
MRS. DEBORAH LOU STUCK MD
Family Medicine
880 W MOULTRIE ST, SUITE 200
WINNSBORO, SC 29180
Fairfield County (803) 635-6487

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 Blue Granite Medical Center's NPI number?

The NPI number for Blue Granite Medical Center is 1801100409. It was assigned to this organization in the NPPES registry on August 6, 2010.

Where is Blue Granite Medical Center located?

Blue Granite Medical Center is located at 880 W Moultrie St, Winnsboro, SC 29180. The listed phone number is (803) 635-0288.

What is Blue Granite Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Blue Granite Medical Center was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.