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Deactivated NPI 1245774066 Deactivated / Inactive NPI Female Practitioner

Donna Gragg

Licensed Practical Nurse • Laurens, SC

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Donna Gragg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2016
NPI Deactivation Date August 28, 2025
Total Practice Duration ~9 Years of Practice (2016 – 2025)

Professional Overview & Biography Verified Profile Summary

Donna Gragg was a registered Licensed Practical Nurse practicing in Laurens, SC. Throughout an active medical career spanning 9 years, Donna Gragg provided care at the practice location at 601 LUCAS AVE until profile deactivation on 2025-08-28.

Practice Location & Contact Primary Location

Practice Address

601 Lucas Ave

Laurens, SC 29360

Telephone 8649843986

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Laurens, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Laurens, SC (520 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License SC P17674

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Holly Robertson

Registered Nurse - School

NPI 1427568971
Kristin Werts , RN

Registered Nurse - Pediatrics

NPI 1558995357

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2016

Registered at 601 LUCAS AVE, LAURENS, SC 29360 (Tel: 8649843986)

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Updated Business Mailing Address December 13, 2016

Registered at 601 LUCAS AVE, LAURENS, SC 29360

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Provider Name / Credentials Updated December 13, 2016

Recorded as DONNA GRAGG

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Licensed Practical Nurse (License #P17674 in SC)

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Initial NPI Registration & Enumeration December 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245774066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2016
Last Update: December 13, 2016
Deactivation Date: August 28, 2025

Mailing Address

601 Lucas Ave

Laurens, SC 29360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.