Individual provider Active NPI

Jennifer Lee, DC

  • Chiropractor
  • West Columbia, SC
National Provider Identifier
1104684323
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4689 Issued in SC
Practice address
2427 Fish Hatchery Rd
West Columbia, SC 29172-2093
Phone
(803) 939-0785
Fax
(803) 939-0787
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4689 SC Primary

Addresses

Primary practice location

2427 Fish Hatchery Rd
West Columbia, SC 29172-2093

Mailing address

2427 Fish Hatchery Rd
West Columbia, SC 29172-2093
Phone (803) 939-0785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529001883 SC Practitioner - Chiropractic 5395187827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4689SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of West Columbia Chiropractor CurrentSince Sep 26, 2025 Accepting new patients

Locations

2427 Fish Hatchery Rd
West Columbia, SC 29172
Phone (803) 939-0785

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, 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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1104684323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 FISH HATCHERY RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722093",
            "telephone_number": "803-939-0785",
            "fax_number": "803-939-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 FISH HATCHERY RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722093",
            "telephone_number": "803-939-0785",
            "fax_number": "803-939-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.