Active NPI
Jennifer Gregory Amrol, MD
- Pediatrics Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23847
- Practice address
- 14 Richland Medical Park Dr Ste 400
Columbia, SC 29203-6878 - Phone
- (803) 434-7950
- Fax
- (803) 434-8606
- NPI assigned
- Jun 25, 2006
- Last updated
- Apr 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23847 | SC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 400
Columbia, SC 29203-6878
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T80463 | Medicaid | SC |
Other names 1
- Dr. Jennifer Gregory
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23847 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Pediatrics | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
14 Richland Medical Park Dr
Ste 400
Columbia, SC 29203
Phone (803) 434-7945
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
9 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (718) 818-2419
Interoperability endpoints
- jamrol376587@direct.ghs.myhfn.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Pediatrics
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1174559553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 400",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036878",
"telephone_number": "803-434-7950",
"fax_number": "803-434-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMROL",
"first_name": "JENNIFER",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "23847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T80463",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GREGORY",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, SC
- Lisa Amodio, LISW-CP, LCSW-R
- Sarah Elizabeth Amos, PTA
- Amour Beauty Academy LLC
- James Oware Ampadu, M.D.
- David Joseph Amrol, M.D.
- Amsurg Columbia Anesthesia LLC
- Chandra Ancell, RBT
- Anchored in Hope Counseling Services, LLC
- Ancient Mariner, LLC (Children and Adult Dental Group)
- Lauren Frances Ancona, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.