Individual provider Active NPI

Jennifer Haynie, M.D.

  • Hospitalist Physician
  • Sumter, SC
National Provider Identifier
1194013615
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
89114 Issued in SC
Practice address
129 N Washington St
Sumter, SC 29150-4949
Phone
(803) 434-6771
Fax
(803) 434-3955
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T67019992 VA
Internal Medicine Physician 207R00000X 51340 TN
Hospitalist Physician 208M00000X 89114 SC Primary

Addresses

Primary practice location

129 N Washington St
Sumter, SC 29150-4949

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-6611

Other identifiers 2

IdentifierTypeStateIssuer
Q006871MedicaidTN
1194013615MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, KY, DC, SC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20141031001564 TN Practitioner - Internal Medicine 4486875630 Reassigns benefits to 4 organizations
I20200408003741 VA Practitioner - Internal Medicine 4486875630 Reassigns benefits to 2 organizations
I20200624002181 KY Practitioner - Internal Medicine 4486875630 Reassigns benefits to 2 organizations
I20221215000575 DC Practitioner - Internal Medicine 4486875630 Reassigns benefits to 3 organizations
I20230120000281 SC Practitioner - HospitalistPractitioner - Internal Medicine 4486875630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Fair Oaks Hospitalist Physicians, PLLCGroup PAC ID 1052419868, 63 clinicians

Practice addresses (Care Compare)

101 Harris Rd
Kilmarnock, VA 22482-3880
Phone (240) 686-2300

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3558

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51340TNMDFamily Medicine Physician
T67019992VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Internal Medicine Current Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 12, 2017 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Mar 9, 2015 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince May 25, 2023 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Apr 7, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 5, 2014 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Jul 25, 2017 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Aug 20, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 5, 2014 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC Hospitalist CurrentSince Apr 6, 2023 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Oct 12, 2017 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Musc Community Physicians CurrentSince Jul 22, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Commonwealth Health Corporation, Inc. Hospitalist CurrentSince Aug 2, 2021 Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations (25 of 32)

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663

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

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Ste 3A
Kingsport, TN 37660
Phone (423) 224-3220

300 20th Ave N
Fl 9
Nashville, TN 37203

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1194013615",
    "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",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504949",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Dr Db Todd Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372083501",
            "country_code": "US",
            "telephone_number": "615-327-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "T67019992",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "51340",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "89114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006871",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194013615",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.