NPIMap

Individual provider Active NPI

Jeffrey R Herman, M.D.

  • Internal Medicine Physician
  • Summerville, SC
National Provider Identifier
1043358286
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34587 Issued in SC
Practice address
1516 Old Trolley Rd Ste 101
Summerville, SC 29485-8345
Phone
(843) 203-9393
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34587 SC Primary

Addresses

Primary practice location

1516 Old Trolley Rd Ste 101
Summerville, SC 29485-8345

Mailing address

1856 Beekman St
Daniel Island, SC 29492-8137
Phone (203) 613-7520

Other identifiers 1

IdentifierTypeStateIssuer
345870MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140214001367 SC Practitioner - Family PracticePractitioner - Internal Medicine 8224179288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

1516 Old Trolley Rd
Suite 101
Summerville, SC 29485-8209
Phone (843) 203-9393

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, North Charleston, SC, CCN 427035
  • Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34587SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Current Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients
Neighborhood Health, Inc. Emergency Medicine Past Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

1516 Old Trolley Rd
Ste 101
Summerville, SC 29485
Phone (843) 203-9393

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 695-8464

Interoperability endpoints

  • Direct secure messaging: jeffrey.herman@ppcp1.eclinicaldirectplus.com

Organizations & group practices 6

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 7

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1043358286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 BEEKMAN ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928137",
            "telephone_number": "203-613-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 OLD TROLLEY RD STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858345",
            "telephone_number": "843-203-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "34587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345870",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.