Individual provider Active NPI

Caitlin Jennings, PMHNP-BC, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1083109300
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
22004 Issued in SC
Practice address
1547 Parkway
Greenwood, SC 29646-4081
Phone
(864) 229-7120
NPI assigned
Jun 28, 2018
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22004 SC Primary

Addresses

Primary practice location

1547 Parkway
Greenwood, SC 29646-4081

Mailing address

1547 Parkway
Greenwood, SC 29646-4081
Phone (864) 229-7120

Other identifiers 2

IdentifierTypeStateIssuer
3335OtherSCMEDICARE
421504MedicaidSC

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
I20180827000650 SC Practitioner - Nurse Practitioner 7517216476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1225 Montague Ave Ext
Greenwood, SC 29649-9027
Phone (864) 993-1364

1547 Pkwy
Suite 200
Greenwood, SC 29646-4081
Phone (864) 223-8331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22004SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Dec 9, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Dec 9, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Oct 25, 2021 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
A Healing Presence Psychiatric/Mental Health CurrentSince Dec 2, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

125 E Robinson St
Gaffney, SC 29340
Phone (864) 487-2710

68 Pointe Cir
Ste 3201
Greenville, SC 29615
Phone (864) 479-1212

1225 Montague Avenue Ext
Greenwood, SC 29649
Phone (864) 519-0054

1547 Parkway
Greenwood, SC 29646
Phone (864) 223-8331

1547 Parkway
Ste 200
Greenwood, SC 29646
Phone (864) 223-8331

853 Highway 72 Byp
Greenwood, SC 29649
Phone (864) 302-0202

4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1083109300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 PARKWAY",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464081",
            "telephone_number": "864-229-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 PARKWAY",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464081",
            "telephone_number": "864-229-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CAITLIN",
        "credential": "PMHNP-BC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "22004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3335",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.