Individual provider Active NPI

Jennifer Babette Abrams, D.O.

  • Emergency Medicine Physician
  • Elgin, SC
National Provider Identifier
1104899210
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0680 Issued in SC
Practice address
40 Pinnacle Pkwy
Elgin, SC 29045-8390
Phone
(803) 424-5160
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0680 SC Primary

Addresses

Primary practice location

40 Pinnacle Pkwy
Elgin, SC 29045-8390

Mailing address

40 Pinnacle Pkwy
Building 100
Elgin, SC 29045-8390
Phone (803) 424-5160

Other practice location 1

100 Palmetto Health Pkwy
Suite 104
Columbia, SC 29212-1753
Phone (803) 907-7500

Other identifiers 1

IdentifierTypeStateIssuer
006807MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000426 SC Practitioner - Emergency Medicine 5799738126 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0680SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands Current Accepting new patients
Musc Community Physicians Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Palmetto Health CurrentSince Mar 19, 2014 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Beth Israel Medical Center Emergency Medicine Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
KHH Emergency Medicine Emergency Medicine Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410

100 Palmetto Health Pkwy
Ste 104
Columbia, SC 29212
Phone (803) 434-5668

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

40 Pinnacle Pkwy
Ste 100
Elgin, SC 29045
Phone (803) 424-5160

40 Pinnacle Pkwy
Elgin, SC 29045
Phone (803) 424-5160

Organizations & group practices 7

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1104899210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY",
            "address_2": "BUILDING 100",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Palmetto Health Pkwy",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121753",
            "country_code": "US",
            "telephone_number": "803-907-7500",
            "fax_number": "803-907-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "JENNIFER",
        "middle_name": "BABETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "0680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006807",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

Verify at the official NPI Registry.