Individual provider Active NPI

Jeannette Marie Loftin, AGACNP

  • Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1104435148
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
31205 Issued in SC
Practice address
196 Cardiology Dr
Rock Hill, SC 29732-1174
Phone
(803) 324-5135
Fax
(803) 324-8161
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X CP002640 SD
Nurse Practitioner 363L00000X 31205 SC Primary

Addresses

Primary practice location

196 Cardiology Dr
Rock Hill, SC 29732-1174

Mailing address

196 Cardiology Dr
Rock Hill, SC 29732-1174
Phone (803) 324-5135

Other practice location 1

520 Willowbrook Rd
Columbus, MS 39705-2015
Phone (662) 240-1412

Other practice location 2

7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-6000

Other practice location 3

1301 W 18th St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

Other names 1

  • Jeannette Marie Gomez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230608001669 MN Practitioner - Nurse Practitioner 4486058005
I20260528003608 SC Practitioner - Nurse Practitioner 4486058005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

196 Cardiology Dr
Rock Hill, SC 29732-1174

4810 Spicewood Springs Rd
BLDG B
Austin, TX 78759-7838

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as group
Quality
85.75
Improvement activities
40
Cost
78.48

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Cardiology Associates LLC CurrentSince Apr 22, 2026 Accepting new patients

Locations

986 Wellness Way
Ste 100
Fort Mill, SC 29715
Phone (704) 449-6064

196 Cardiology Dr
Rock Hill, SC 29732
Phone (803) 324-5135

Organizations & group practices 1

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1104435148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CARDIOLOGY DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321174",
            "telephone_number": "803-324-5135",
            "fax_number": "803-324-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CARDIOLOGY DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321174",
            "telephone_number": "803-324-5135",
            "fax_number": "803-324-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052015",
            "country_code": "US",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7691 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383904",
            "country_code": "US",
            "telephone_number": "901-516-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571050401",
            "country_code": "US",
            "telephone_number": "605-312-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFTIN",
        "first_name": "JEANNETTE",
        "middle_name": "MARIE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SD",
            "license": "CP002640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "31205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "GOMEZ",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.