Christopher Hal Jeppson, SCAT

Primary specialty

SpecialistTaxonomy code 174400000X

License

36001231A Issued in IN

Practice address

300 E College Ave
Hartsville, SC 29550-3742

Phone

(843) 383-8390

Fax

(843) 383-8169

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4

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.

• Hartsville Medical Group LLC

  • Internal Medicine Physician
  • Hartsville, SC
  • NPI 1598995300
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1104890516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DAHOON LN",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504907",
            "telephone_number": "540-209-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E COLLEGE AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295503742",
            "telephone_number": "843-383-8390",
            "fax_number": "843-383-8169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 W Bobo Newsom Hwy",
            "address_purpose": "LOCATION",
            "city": "Hartsville",
            "state": "SC",
            "postal_code": "295504710",
            "country_code": "US",
            "telephone_number": "843-339-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPPSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "HAL",
        "name_prefix": "Mr.",
        "credential": "SCAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "36001231A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST/TECHNOLOGIST",
            "identifier": "225500000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Dan Jackson, D.C.
• Barbara Jackson
• Katrina Nicole Jackson
• Temeka Lashon Jackson, RPSGT, RST
• Marian G. Japitana Bunnell, M.D
• Marcia L Jessup-Miller, PTA
• JFB Enterprises, LLC
• Anthony Johnson
• Cynthia Johnson
• Ella Johnson

• Specialist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.