Individual provider Active NPI

Jason Humphries

  • Community Paramedic
  • Fort Mill, SC
National Provider Identifier
1194642751
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community ParamedicTaxonomy code 146E00000X
License
991 Issued in SC
Practice address
2165 Reynolds Ridge LN Apt 307
Fort Mill, SC 29708-2103
Phone
(803) 804-2622
NPI assigned
Jul 2, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X SC007262 SC
Community ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146E00000X 991 SC Primary

Addresses

Primary practice location

2165 Reynolds Ridge LN Apt 307
Fort Mill, SC 29708-2103

Mailing address

2165 Reynolds Ridge LN Apt 307
Fort Mill, SC 29708-2103
Phone (803) 558-9924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1194642751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 REYNOLDS RIDGE LN APT 307",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297082103",
            "telephone_number": "803-558-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 REYNOLDS RIDGE LN APT 307",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297082103",
            "telephone_number": "803-804-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SC",
            "license": "SC007262",
            "primary": false
        },
        {
            "code": "146E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Paramedic",
            "state": "SC",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.