Individual provider Active NPI

Jeffrey S. Molle, MD

  • Surgery Physician
  • West Columbia, SC
National Provider Identifier
1073577375
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
84100 Issued in SC
Practice address
176 McSwain Dr
West Columbia, SC 29169-4825
Phone
(803) 767-4465
Fax
(803) 767-4120
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 200901168 NC
Surgery Physician 208600000X 0101052466 VA
Surgery Physician 208600000X 84100 SC Primary

Addresses

Primary practice location

176 McSwain Dr
West Columbia, SC 29169-4825

Mailing address

9275 Medical Plaza Dr Ste F
North Charleston, SC 29406-9140
Phone (803) 767-4465

Other practice location 1

9275 Medical Plaza Dr Ste F
North Charleston, SC 29406-9140
Phone (803) 767-4465

Other practice location 2

408 E Dekalb St Ste B
Camden, SC 29020-4429
Phone (803) 767-4465

Other practice location 3

2227 Saint Matthews Rd
Orangeburg, SC 29118-2040

Other identifiers 2

IdentifierTypeStateIssuer
N0116EMedicaidSC
010083401MedicaidVA

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
I20201013000956 SC Practitioner - General Surgery 7517930258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Espinoza Vein Institute LLCGroup PAC ID 2860822467, 2 clinicians

Practice addresses (Care Compare)

117 Park Place CT
Lexington, SC 29072-6690
Phone (803) 626-9075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200901168NCMDSurgery Physician
84100SCMDSurgery Physician
0101052466VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Jul 6, 2009 Accepting new patients
Musc Community Physicians Surgery CurrentSince Aug 1, 2021 Accepting new patients
Hyper Healing Surgery CurrentSince Aug 19, 2022 Accepting new patients
Caromont Medical Group Inc Surgery Current Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Nov 1, 2018 Accepting new patients
Caromont Medical Group Inc Surgery CurrentSince Jul 6, 2009 Accepting new patients
Espinoza Vein Institute LLC CurrentSince Jan 6, 2025 Accepting new patients
Melvin W Ressler, MD Surgeon PC T/a Gloucester Surgery Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
SC House Calls Inc PastSince Aug 19, 2022 Accepting new patients

Locations

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

327 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-7800

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

408 E DeKalb St
Ste B
Camden, SC 29020
Phone (803) 767-4465

1930 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 767-4465

114 Gateway Corporate Blvd
Ste 420
Columbia, SC 29203
Phone (803) 365-8650

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

2001 Laurel St
Ste 300
Columbia, SC 29204
Phone (803) 254-2786

117 Park Place Ct
Lexington, SC 29072
Phone (803) 359-8346

9275 Medical Plaza Dr
Ste F
North Charleston, SC 29406
Phone (803) 767-4465

2227 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 539-0727

176 McSwain Dr
West Columbia, SC 29169
Phone (803) 767-4465

Interoperability endpoints

  • Direct secure messaging: jmolle379623@direct.musc.edu

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1073577375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR STE F",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "803-767-4465",
            "fax_number": "803-767-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MCSWAIN DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694825",
            "telephone_number": "803-767-4465",
            "fax_number": "803-767-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9275 Medical Plaza Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069140",
            "country_code": "US",
            "telephone_number": "803-767-4465",
            "fax_number": "803-767-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 E Dekalb St Ste B",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290204429",
            "country_code": "US",
            "telephone_number": "803-767-4465",
            "fax_number": "803-767-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2227 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291182040",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLE",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200901168",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101052466",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "84100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0116E",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010083401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.