Active NPI
Jennifer Walker, MD
- Pediatric Critical Care Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 87460
- Practice address
- 701 Grove Rd FL 6
Greenville, SC 29605-4210 - Phone
- (864) 455-7146
- Fax
- (864) 455-5380
- NPI assigned
- Jun 3, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2018-00493 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 87460 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd FL 6
Greenville, SC 29605-4210
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1422
Other practice location 2
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3372
Phone (704) 381-8840
Other practice location 3
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3664
Other practice location 4
2550 Court Dr
Gastonia, NC 28054-2152
Phone (704) 381-8840
Other practice location 5
1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866
Phone (704) 381-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC3483 | Medicaid | SC |
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 |
|---|---|---|---|
| MD87460 | SC | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
| Prisma Health-Upstate | Past | Accepting new patients | |
| University Medical Group Department of OBGYN | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
701 Grove Rd
Fl 6
Greenville, SC 29605
Phone (864) 455-7146
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- jwalker599667@direct.ghs.myhfn.org
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1710944749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1184004202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD FL 6",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-7146",
"fax_number": "864-455-5380"
}
],
"practiceLocations": [
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14214 Ballantyne Lake Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773372",
"country_code": "US",
"telephone_number": "704-381-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 Church St N",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252927",
"country_code": "US",
"telephone_number": "704-403-3664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2550 Court Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542152",
"country_code": "US",
"telephone_number": "704-381-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Blythe Blvd",
"address_2": "Medical Center Plaza Suite 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-381-8840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2018-00493",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "SC",
"license": "87460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC3483",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.