Individual provider Active NPI

Jennifer Lucas Reid, FNP

  • Primary Care Nurse Practitioner
  • Florence, SC
National Provider Identifier
1003583246
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
25211 Issued in SC
Practice address
214 W Pine St
Florence, SC 29501-4725
Phone
(843) 661-0500
Fax
(436) 617-3708
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 25211 SC Primary

Addresses

Primary practice location

214 W Pine St
Florence, SC 29501-4725

Mailing address

214 W Pine St
Florence, SC 29501-4725
Phone (843) 661-0500

Other identifiers 2

IdentifierTypeStateIssuer
54-25211OtherSCCONTROLLED SUBSTANCE
APN25211OtherSCSC LLR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027003188 SC Practitioner - Nurse Practitioner 2062800857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent Healthcare LLCGroup PAC ID 3971746447, 4 clinicians

Practice addresses (Care Compare)

214 W Pine St
Florence, SC 29501-4725
Phone (843) 661-0500

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Sep 20, 2021 Accepting new patients
McLeod Health Clarendon Current Accepting new patients
McLeod Health Clarendon CurrentSince Jan 31, 2022 Accepting new patients
Crescent Healthcare LLC Primary Care CurrentSince Sep 6, 2022 Accepting new patients
McLeod Health Clarendon CurrentSince Jan 31, 2022 Accepting new patients
McLeod Health Cheraw CurrentSince Sep 20, 2021 Accepting new patients
Harry S Allen III, M.D.,PC Past Accepting new patients
Florence Urological Associates, PA PastSince Jul 1, 2022 Accepting new patients

Locations

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

214 W Pine St
Florence, SC 29501
Phone (843) 661-0500

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

755 E Smith St
Timmonsville, SC 29161
Phone (843) 346-3900

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1003583246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014725",
            "telephone_number": "843-661-0500",
            "fax_number": "843-661-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014725",
            "telephone_number": "843-661-0500",
            "fax_number": "436-617-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JENNIFER",
        "middle_name": "LUCAS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "25211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "54-25211",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LLR",
            "identifier": "APN25211",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.