Individual provider Active NPI

Jessica M. Poley, APRN

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1134829849
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26932 Issued in SC
Practice address
101 William H Johnson St Ste 600
Florence, SC 29506-2773
Phone
(843) 667-1891
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26932 SC
Family Nurse Practitioner 363LF0000X 26932 SC Primary

Addresses

Primary practice location

101 William H Johnson St Ste 600
Florence, SC 29506-2773

Mailing address

101 William H Johnson St Ste 600
Florence, SC 29506-2773
Phone (843) 667-1891

Other names 1

  • Miss Jessica M. Murdock Former name

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
I20230524000150 SC Practitioner - Nurse Practitioner 3870959414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

101 William H Johnson St
Suite 600
Florence, SC 29506-2773
Phone (843) 667-1891

Hospital & facility affiliations

  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 16, 2024 Accepting new patients
McLeod Physician Associates II Nurse Practitioner Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 16, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince May 24, 2023 Accepting new patients
McLeod Physician Associates II Nurse Practitioner CurrentSince May 24, 2023 Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients

Locations

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

506 E Cheves St
#202
Florence, SC 29506

101 William H Johnson St
Ste 600
Florence, SC 29506
Phone (843) 667-1891

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

1005 E Cheves St
Florence, SC 29506
Phone (843) 777-7900

Interoperability endpoints

  • Direct secure messaging: jpoley23352@directmcleodehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1134829849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062773",
            "telephone_number": "843-667-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062773",
            "telephone_number": "843-667-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEY",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26932",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MURDOCK",
            "middle_name": "M.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.