NPIMap

Organization Active NPI

Jewell Family and Elder Medicine PA

  • Geriatric Medicine (Family Medicine) Physician
  • Rock Hill, SC
National Provider Identifier
1215982533
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
JEWELL FAMILY AND ELDER MEDICINE PA
Practice address
1147 Ebenezer Rd
Rock Hill, SC 29732-2355
Phone
(803) 329-6648
Fax
(803) 985-4134
NPI assigned
May 24, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
James Lee Jewell, MDNPI 1063413136
Title
President
Phone
(803) 329-6648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary

Addresses

Primary practice location

1147 Ebenezer Rd
Rock Hill, SC 29732-2355

Mailing address

1218 Auburndale Lane
Rock Hill, SC 29732
Phone (803) 366-4818

Other identifiers 1

IdentifierTypeStateIssuer
GP2323MedicaidSC

National Provider Directory

National Provider Directory

Locations

1147 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 230-1529

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1215982533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 AUBURNDALE LANE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-366-4818",
            "fax_number": "803-366-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322355",
            "telephone_number": "803-329-6648",
            "fax_number": "803-985-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL FAMILY AND ELDER MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-329-6648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2323",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.