Individual provider Active NPI

Jesse T Felder III, MD

  • Emergency Medicine Physician
  • Greenville, SC
National Provider Identifier
1124081534
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20658 Issued in SC
Practice address
701 Grove Rd
ER Administration
Greenville, SC 29605-5611
Phone
(864) 455-6372
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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 20658 SC Primary

Addresses

Primary practice location

701 Grove Rd
ER Administration
Greenville, SC 29605-5611

Mailing address

255 Enterprise Blvd
Suite 250
Greenville, SC 29615-6300
Phone (864) 454-0888

Other identifiers 2

IdentifierTypeStateIssuer
206583MedicaidSC
20028641OtherSCSELECT HEALTH

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
I20080312000770 SC Practitioner - Emergency Medicine 3375628415 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
St Francis Hospital Inc CurrentSince Jan 3, 2014 Accepting new patients
St Francis Hospital Inc CurrentSince Jan 3, 2014 Accepting new patients
St. Francis Hospital, Inc. Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Vituity-South Carolina LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Ich ER Services, LLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Greenville Health System Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000

Interoperability endpoints

  • Direct secure messaging: jfelder37527@direct.anmedhealth.net

Organizations & group practices 9

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1124081534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ENTERPRISE BLVD",
            "address_2": "SUITE 250",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156300",
            "telephone_number": "864-454-0888",
            "fax_number": "864-454-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "address_2": "ER ADMINISTRATION",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055611",
            "telephone_number": "864-455-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER",
        "first_name": "JESSE",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "20658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206583",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20028641",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.