NPIMap

Individual provider Active NPI

Jessica Roberson Strickland, NP-C

  • Family Nurse Practitioner
  • Aynor, SC
National Provider Identifier
1063968055
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20421 Issued in SC
Practice address
1213 Elm St
Aynor, SC 29511-3320
Phone
(843) 358-5806
Fax
(843) 358-9205
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 20421 SC Primary

Addresses

Primary practice location

1213 Elm St
Aynor, SC 29511-3320

Mailing address

300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

51 11th Ave
Aynor, SC 29511-3249
Phone (843) 358-3700

Other identifiers 1

IdentifierTypeStateIssuer
NP4186MedicaidSC

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
I20161219000028 SC Practitioner - Nurse Practitioner 6901186568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

1213 Elm St
Aynor, SC 29511-3320
Phone (843) 358-5806

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20421SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital Community Services CurrentSince Dec 1, 2024 Accepting new patients
Conway Hospital Community Services Family CurrentSince Dec 1, 2024 Accepting new patients
SC House Calls Inc CurrentSince Dec 28, 2021 Accepting new patients
Southeastern Hospitalist Services PC CurrentSince Dec 1, 2018 Accepting new patients
SC House Calls Inc CurrentSince Dec 28, 2021 Accepting new patients
Conway Hospital Community Services Past Accepting new patients

Locations

1213 Elm St
Aynor, SC 29511
Phone (843) 358-5806

51 11th Ave
Aynor, SC 29511
Phone (843) 358-3700

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: jessica.strickland@hca5.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1063968055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTN CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 ELM ST",
            "city": "AYNOR",
            "state": "SC",
            "postal_code": "295113320",
            "telephone_number": "843-358-5806",
            "fax_number": "843-358-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Aynor",
            "state": "SC",
            "postal_code": "295113249",
            "country_code": "US",
            "telephone_number": "843-358-3700",
            "fax_number": "843-358-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "JESSICA",
        "middle_name": "ROBERSON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4186",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aynor, SC

Sources for this page

Verify at the official NPI Registry.