Individual provider Active NPI

Jenny McCallister Riley, M.D.

  • Hematology & Oncology Physician
  • North Charleston, SC
National Provider Identifier
1043504020
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
33673 Issued in SC
Practice address
9313 Medical Plaza Dr Ste 103
North Charleston, SC 29406-9802
Phone
(843) 790-8280
Fax
(843) 974-8500
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 33673 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 103
North Charleston, SC 29406-9802

Mailing address

9313 Medical Plaza Dr Ste 103
North Charleston, SC 29406-9802
Phone (843) 790-8280

Other practice location 1

1176 Sam Rittenberg
Ste. 100
Charleston, SC 29407-0001
Phone (843) 790-8280

Other practice location 2

404 Brighton Park Blvd Ste 101
Summerville, SC 29486-3058
Phone (843) 790-8280

Other practice location 3

1300 Hospital Dr Ste 170
Mount Pleasant, SC 29464-3243
Phone (843) 790-8280

Other identifiers 1

IdentifierTypeStateIssuer
336737MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140816000014 SC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6204053143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lowcountry Oncology Associates LLCGroup PAC ID 4688113723, 13 clinicians

Practice addresses (Care Compare)

9313 Medical Plaza Dr
Suite 103
North Charleston, SC 29406-9802
Phone (843) 790-8280

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33673SCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Francis Xavier Hospital, Inc. Internal Medicine CurrentSince Nov 6, 2022 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Lowcountry Oncology Associates, LLC Hematology & Oncology CurrentSince Sep 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Bon Secours St. Francis Xavier Hosptial, Inc. Hematology & Oncology CurrentSince Nov 6, 2022 Accepting new patients
Roper Saint Francis Physicians Network Hematology & Oncology CurrentSince Jul 23, 2018 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 23, 2018 Accepting new patients

Locations

2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957

2085 Henry Tecklenburg Dr
Fl 2
Charleston, SC 29414
Phone (843) 577-6957

1176 Sam Rittenberg Blvd
Ste 100
Charleston, SC 29407
Phone (843) 790-8280

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

1300 Hospital Dr
Ste 170
Mount Pleasant, SC 29464
Phone (843) 790-8280

3510 N Highway 17
Ste 225
Mt Pleasant, SC 29466
Phone (843) 402-1766

900 Bowman Rd
Ste 103
Mt Pleasant, SC 29464
Phone (843) 881-5844

8950 University Blvd
Ste 100
North Charleston, SC 29406
Phone (843) 402-5053

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

9313 Medical Plaza Dr
Ste 103
North Charleston, SC 29406
Phone (843) 790-8280

404 Brighton Park Blvd
Ste 101
Summerville, SC 29486
Phone (843) 790-8280

Organizations & group practices 7

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1043504020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 Sam Rittenberg",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294070001",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Brighton Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294863058",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Hospital Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643243",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JENNY",
        "middle_name": "MCCALLISTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "33673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336737",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.