Individual provider Active NPI

Janeen Jensen Wood, NP-C

  • Family Nurse Practitioner
  • Irmo, SC
National Provider Identifier
1194010769
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17985 Issued in SC
Practice address
1008 Lake Murray Blvd
Irmo, SC 29063-2821
Phone
(803) 749-3840
NPI assigned
Jun 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17985 SC Primary
Family Nurse Practitioner 363LF0000X F0511082 TX

Addresses

Primary practice location

1008 Lake Murray Blvd
Irmo, SC 29063-2821

Mailing address

233 River Creek Dr
Irmo, SC 29063-8301
Phone (803) 318-8346

Other practice location 1

1333 Taylor St Ste D
Columbia, SC 29201-2923
Phone (864) 455-2455

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
I20140808000871 SC Practitioner - Nurse Practitioner 0749407179 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17985SCMDHome Health Registered Nurse
F0511082TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Jan 12, 2026 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 12, 2026 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 12, 2026 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 12, 2026 Accepting new patients

Locations

1333 Taylor St
Ste D
Columbia, SC 29201
Phone (864) 455-2455

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

1333 Taylor St
Columbia, SC 29201
Phone (803) 296-5914

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

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.

NPI Registry JSON

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1194010769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 RIVER CREEK DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638301",
            "telephone_number": "803-318-8346",
            "fax_number": "803-400-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 LAKE MURRAY BLVD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632821",
            "telephone_number": "803-749-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Taylor St Ste D",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012923",
            "country_code": "US",
            "telephone_number": "864-455-2455",
            "fax_number": "864-455-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JANEEN",
        "middle_name": "JENSEN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17985",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0511082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.