Individual provider Active NPI

Jason Lerand Gandy, MD

  • Psychiatry Physician
  • Irmo, SC
National Provider Identifier
1003103730
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LL33776 Issued in SC
Practice address
3543 Dreher Shoals Rd Ste 1
Irmo, SC 29063-7608
Phone
(803) 216-1223
Fax
(800) 878-0910
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LL33776 SC Primary
Psychiatry Physician 2084P0800X 104761 GA

Addresses

Primary practice location

3543 Dreher Shoals Rd Ste 1
Irmo, SC 29063-7608

Mailing address

3543 Dreher Shoals Rd Ste 1
Irmo, SC 29063-7608
Phone (803) 216-1223

Other practice location 1

1301 Plantation Island Dr S Ste 303B
St Augustine, FL 32080-3117
Phone (800) 491-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240620002507 SC Practitioner - Psychiatry 5890238620 Reassigns benefits to 1 organization
I20250402001252 FL Practitioner - Psychiatry 5890238620
I20250731000006 GA Practitioner - Psychiatry 5890238620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104761GAMDPsychiatry Physician
LL33776SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince May 29, 2024 Accepting new patients
SC House Calls Inc CurrentSince May 29, 2024 Accepting new patients

Locations

1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: jason.gandy.1@7602.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1003103730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 DREHER SHOALS RD STE 1",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637608",
            "telephone_number": "803-216-1223",
            "fax_number": "800-878-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 DREHER SHOALS RD STE 1",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637608",
            "telephone_number": "803-216-1223",
            "fax_number": "800-878-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Plantation Island Dr S Ste 303B",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320803117",
            "country_code": "US",
            "telephone_number": "800-491-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDY",
        "first_name": "JASON",
        "middle_name": "LERAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL33776",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "104761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.