Individual provider Active NPI

Jessica Ann Mullis, FNP

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1033800271
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27338 Issued in SC
Practice address
1506 N Fant St
Anderson, SC 29621-4708
Phone
(864) 260-6995
Fax
(864) 884-9909
NPI assigned
May 18, 2023
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27338 SC Primary

Addresses

Primary practice location

1506 N Fant St
Anderson, SC 29621-4708

Mailing address

4600 McAuley PL Ste 600
Blue Ash, OH 45242-4778

Other practice location 1

279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (864) 583-0053

Other practice location 2

9404 Highway 78 Ste 100
Ladson, SC 29456-3909
Phone (502) 855-7200

Other practice location 3

10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554
Phone (864) 295-6399

Other practice location 4

7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177
Phone (803) 791-7175

Other practice location 5

805 Montague Ave
Greenwood, SC 29649-1471
Phone (502) 855-7200

Other practice location 6

127 Ben Casey Dr Ste 103
Fort Mill, SC 29708-6600
Phone (502) 855-7200

Other practice location 7

13400 Clemson Blvd
Seneca, SC 29678-1455
Phone (864) 506-8990

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
I20250317000273 SC Practitioner - Nurse Practitioner 0143742437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Ambulatory Services - St. Francis, LLCGroup PAC ID 0840590931, 57 clinicians

Practice addresses (Care Compare)

1467 Woodruff Rd
Suite C
Greenville, SC 29607-6505
Phone (864) 458-8126

3710 Clemson Blvd
Anderson, SC 29621-1317
Phone (864) 757-5059

975 By Pass
Suite 123
Seneca, SC 29678-4758
Phone (864) 586-1152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27338SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Mar 24, 2025 Accepting new patients
Woodruff Road Urgent Care Center, P.C. CurrentSince Oct 5, 2025 Accepting new patients

Locations

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

13400 Clemson Blvd
Seneca, SC 29678
Phone (864) 506-8990

Organizations & group practices 3

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1033800271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MCAULEY PL STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214708",
            "telephone_number": "864-260-6995",
            "fax_number": "864-884-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 E Kennedy St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021912",
            "country_code": "US",
            "telephone_number": "864-583-0053",
            "fax_number": "864-583-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9404 Highway 78 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294563909",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Enterprise Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153554",
            "country_code": "US",
            "telephone_number": "864-295-6399",
            "fax_number": "864-295-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7021 Saint Andrews Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-791-7175",
            "fax_number": "803-791-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Montague Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296491471",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Ben Casey Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086600",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13400 Clemson Blvd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781455",
            "country_code": "US",
            "telephone_number": "864-506-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.