NPIMap

Individual provider Active NPI

Jeffrey Lee Childes, MD

  • Anesthesiology Physician
  • Greenville, SC
National Provider Identifier
1265448005
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27647 Issued in SC
Practice address
67 Creekside Park CT
Greenville, SC 29615-4810
Phone
(864) 242-4602
Fax
(864) 242-0129
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27647 SC Primary

Addresses

Primary practice location

67 Creekside Park CT
Greenville, SC 29615-4810

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6308

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
I20050509000912 SC Practitioner - Anesthesiology 0749253722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

175 Patewood Dr
Greenville, SC 29615-3570
Phone (864) 797-1403

67 Creekside Park CT
Greenville, SC 29615-4810
Phone (864) 522-3700

701 Grove Rd
Greenville, SC 29605-4210

830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455

Hospital & facility affiliations

  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27647SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System Current Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Prisma Health University Medical Group Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Greenville Health System CurrentSince Apr 19, 2015 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2015 Accepting new patients
Oconee Medical Center Past Accepting new patients
Palmetto Anesthesia Associates Anesthesiology PastSince Jun 28, 2020 Accepting new patients
Interventional Pain Management Associates, LLC Past Accepting new patients
Lake Norman Anesthesia Associates PastSince Sep 21, 2025 Accepting new patients
Crescent Anesthesia Associates Anesthesiology Past Accepting new patients
Foothills Anesthesia Consultants, PC Anesthesiology Past Accepting new patients
Delaware County Anesthesiologists Anesthesiology Past Accepting new patients

Locations

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: jchildes33587@direct.ghs.myhfn.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1265448005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CREEKSIDE PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154810",
            "telephone_number": "864-242-4602",
            "fax_number": "864-242-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDES",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "27647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.