NPIMap

Individual provider Active NPI

Jamie D Cunningham, ACNP

  • Acute Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1255517728
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3442 Issued in SC
Practice address
2001 Laurel St
Columbia, SC 29204-1018
Phone
(803) 254-3278
Fax
(803) 255-2715
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3442 SC Primary

Addresses

Primary practice location

2001 Laurel St
Columbia, SC 29204-1018

Mailing address

PO Box 99
Columbia, SC 29202-0099
Phone (803) 254-3278

Other identifiers 1

IdentifierTypeStateIssuer
NP1180MedicaidSC

Other names 1

  • Ms. Jamie D Hayes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080418000575 SC Practitioner - Nurse Practitioner 6103904917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4398

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3442SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Oct 14, 2019 Accepting new patients
Self Medical Group Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 19, 2017 Accepting new patients
Self Medical Group CurrentSince Oct 14, 2019 Accepting new patients
Self Regional Healthcare CurrentSince Jan 1, 2026 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 19, 2017 Accepting new patients
Self Regional Healthcare CurrentSince Jan 1, 2026 Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

105 Vinecrest Ct
#510
Greenwood, SC 29646
Phone (864) 725-4016

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

105 Vinecrest Ct
Ste 510
Greenwood, SC 29646

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

103 Little Mountain Rd
Ninety Six, SC 29666
Phone (864) 223-5111

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1255517728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020099",
            "telephone_number": "803-254-3278",
            "fax_number": "803-255-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041018",
            "telephone_number": "803-254-3278",
            "fax_number": "803-255-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JAMIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1180",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "HAYES",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.