Jeremie Michael Kenney, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19007 Issued in SC

Practice address

415 Brockman McClimon Rd
Greer, SC 29651-6608

Phone

(864) 989-1432

NPI assigned

Jul 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Premise Health of South Carolina Medical PC

  • Clinic/Center
  • Greenville, SC
  • NPI 1588972426
  NPD
• Premise Health of South Carolina Medical PC

  • Multi-Specialty Clinic/Center
  • Anderson, SC
  • NPI 1952808974
  NPD
• Premise Health of South Carolina Medical, P.C

  • Dental Clinic/Center
  • Greer, SC
  • NPI 1588090625
  NPD
• Premise Health of South Carolina Medical PC

  • Multi-Specialty Clinic/Center
  • Greer, SC
  • NPI 1144577743
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174801088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BROCKMAN MCCLIMON RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516608",
            "telephone_number": "864-989-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BROCKMAN MCCLIMON RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516608",
            "telephone_number": "864-989-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7145 N George Bush Hwy",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750442988",
            "country_code": "US",
            "telephone_number": "972-530-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "JEREMIE",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellar Surgical
• Kevin Metz Keller, MD
• Ann J Kelly, M.D.
• Kemp Chiropractic Center, LLC
• Nina Richelle Kennedy, D.C.
• Ann Alexander Kent, LMFT-A
• Meredith Ketchum, COTA/L
• James Bartlette Key, M.D.
• Humaira Khalid, M.D.
• Tasmia Khan

• Family Nurse Practitioner in Greer, SC
• Providers in Greer, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.