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Gross Family Practice LLC

Rural Health Clinic/Center in Orangeburg, SC · enumerated 2012 · authorized official Verdell Haygood, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083961114

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Registry record

Entity type Organization (Type 2)
Legal business name Gross Family Practice LLC
Practice address 970 Holly St, Orangeburg, SC, 29115
Phone (803) 531-2722
Fax (803) 531-2743
Enumeration date Aug 8, 2012
Last updated in NPPES Sep 21, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0646 (SC) Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Verdell Haygood
Title Office Manager
Phone (803) 531-2722

Other identifiers

Identifier Type State Issuer
H410155677 Other SC MEDICARE ID
T00617 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Gross Family Practice LLC?
The NPI for Gross Family Practice LLC is 1083961114, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Gross Family Practice LLC?
NPPES lists Verdell Haygood (Office Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-21.