Active NPI
Jessica Sue Taber, WHCNP-BC
- Women's Health Nurse Practitioner
- Charleston, SC
National Provider Identifier
1174355986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 31406
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 402-2028
- Fax
- (843) 402-2023
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 36849 | TN | |
| Women's Health Nurse Practitioner | 363LW0102X | 31406 | SC | Primary |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other names 1
- Jessica Sue Elliott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8536 Palmetto Commerce Pkwy
Suite 501
Ladson, SC 29456-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31406 | SC | MD | Women's Health Nurse Practitioner |
| 36849 | TN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Emergency Obstetrics LLC | Current | Accepting new patients |
Locations
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Knoxville, TN
- NPI 1629706445
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Critical Care Medicine (Internal Medicine) Physician
- Summerville, SC
- NPI 1295534956
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1174355986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-402-2028",
"fax_number": "843-402-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABER",
"first_name": "JESSICA",
"middle_name": "SUE",
"name_prefix": "Miss",
"credential": "WHCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "36849",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "31406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "ELLIOTT",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.