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JEFFREY GLENN GROSS M.D. NPI 1427059351


NPI Information

NPI: 1427059351
Provider Name: JEFFREY GLENN GROSS, M.D.
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

Organization: CAROLINA RETINA CENTER PA

PECOS Registration: Yes

Address:
7620 TRENHOLM ROAD EXT
COLUMBIA, SC
ZIP 29223
Phone: (803) 736-7200
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Jeffrey Glenn Gross, M.D. is a retina specialist ophthalmology in Columbia, SC with 41 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Jeffrey Glenn Gross, M.D. NPI is 1427059351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

7620 TRENHOLM ROAD EXT
COLUMBIA, SC
ZIP 29223-718
Phone: (803) 736-7200
Fax: (803) 736-2116

The NPI 1427059351 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 8/2/2005 and was last updated on 8/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology14505SOUTH CAROLINANo
2207WX0107XOphthalmologyRetina Specialist14505SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TL2900MEDICAIDSOUTH CAROLINA
2E12465MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.