Individual provider Active NPI

Deborah Jenkins, FNP,WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1104927334
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APN1012 Issued in SC
Practice address
401 Guess Street
Suite 100
Greenville, SC 29605-4155
Phone
(864) 233-2744
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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 APN1012 SC Primary

Addresses

Primary practice location

401 Guess Street
Suite 100
Greenville, SC 29605-4155

Mailing address

401 Guess St
Suite 100
Greenville, SC 29605-4155
Phone (864) 233-2744

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
I20150414001981 SC Practitioner - Nurse Practitioner 6002138831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as group
Quality
92.53
Improvement activities
40
Cost
82.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN1012SCMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Cardiology CurrentSince Dec 3, 2014 Accepting new patients
Internal Medicine and Cardiology Past Accepting new patients

Locations

401 Guess St
#100
Greenville, SC 29605
Phone (864) 233-2744

401 Guess St
Ste 100
Greenville, SC 29605
Phone (864) 233-2744

220 Scuffletown Rd
Simpsonville, SC 29681
Phone 8642332744 ext. 2812

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJFFBA

Organizations & group practices 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1104927334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GUESS ST",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054155",
            "telephone_number": "864-233-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GUESS STREET",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054155",
            "telephone_number": "864-233-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DEBORAH",
        "credential": "FNP,WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "APN1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.