Individual provider Active NPI

Jean T Isherwood, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1104812403
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
3671 Issued in SC
Practice address
811 W Main St Ste 201&209
Lexington, SC 29072-2507
Phone
(803) 785-4777
Fax
(803) 358-6240
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 3671 SC Primary

Addresses

Primary practice location

811 W Main St Ste 201&209
Lexington, SC 29072-2507

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

222 E Medical Ln Ste 300
West Columbia, SC 29169-4848
Phone (803) 936-8100

Other practice location 2

1 Wellness Blvd Ste 203
Irmo, SC 29063-2873
Phone (803) 936-8100

Other names 1

  • Jean T Dobek Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jisherwood107200@direct.lexmed.com

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
I20200225002534 SC Practitioner - Nurse Practitioner 2860420650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3671SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

7045 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 836-7590

1 Wellness Blvd
Ste 203
Irmo, SC 29063
Phone (803) 732-4608

811 W Main St
Ste 201209
Lexington, SC 29072
Phone (803) 785-4774

811 W Main St
Ste 209
Lexington, SC 29072
Phone (803) 314-9729

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2728 Sunset Blvd
Ste 201
West Columbia, SC 29169
Phone (803) 254-1300

222 E Medical Ln
Ste 300
West Columbia, SC 29169
Phone (803) 739-3570

Organizations & group practices 3

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1104812403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST STE 201&209",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722507",
            "telephone_number": "803-785-4777",
            "fax_number": "803-358-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Medical Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694848",
            "country_code": "US",
            "telephone_number": "803-936-8100",
            "fax_number": "803-936-8130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wellness Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632873",
            "country_code": "US",
            "telephone_number": "803-936-8100",
            "fax_number": "803-749-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHERWOOD",
        "first_name": "JEAN",
        "middle_name": "T",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jisherwood107200@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "811 W Main St Ste 209",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "DOBEK",
            "middle_name": "T",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.