Individual provider Active NPI

Jarrod Alexander Little, MD

  • Plastic and Reconstructive Surgery Physician
  • Bluffton, SC
National Provider Identifier
1023166139
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
41316 Issued in KY
Practice address
206 Bluffton Rd Ste 201
Bluffton, SC 29910-6213
Phone
(843) 575-3308
Fax
(502) 584-0302
NPI assigned
Jan 8, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 41316 KY Primary

Addresses

Primary practice location

206 Bluffton Rd Ste 201
Bluffton, SC 29910-6213

Mailing address

206 Bluffton Rd Ste 201
Bluffton, SC 29910-6213
Phone (843) 575-3308

Other identifiers 4

IdentifierTypeStateIssuer
200942680MedicaidIN
50023218OtherKYPASSPORT
64104862MedicaidKY
3704983000OtherKYPASSPORT ADVANTAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040106000122 KY Practitioner - Plastic and Reconstructive SurgeryPractitioner - OtolaryngologyPractitioner - Emergency Medicine 2466351804 Reassigns benefits to 1 organization
I20230901003499 SC Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 2466351804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 Bluffton Rd
FL 2
Bluffton, SC 29910-6213
Phone (843) 575-3308

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision140
Removal of skin lesions14
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 2, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Revive Palmetto LLC CurrentSince Apr 2, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Musc Community Physicians Current Accepting new patients
Musc Community Physicians CurrentSince Aug 2, 2023 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1251 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-3015

206 Bluffton Rd
Fl 2
Bluffton, SC 29910
Phone (843) 575-3308

Interoperability endpoints

  • Direct secure messaging: jarrod.little.1@21022.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1023166139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BLUFFTON RD STE 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106213",
            "telephone_number": "843-575-3308",
            "fax_number": "502-584-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BLUFFTON RD STE 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106213",
            "telephone_number": "843-575-3308",
            "fax_number": "502-584-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JARROD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "41316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200942680",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50023218",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64104862",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "3704983000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.