Individual provider Active NPI

Jennifer Leigh Matthews, APRN

  • Family Nurse Practitioner
  • Irmo, SC
National Provider Identifier
1326513557
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22249 Issued in SC
Practice address
1079 Dutch Fork Rd
Irmo, SC 29063-8725
Phone
(803) 749-8900
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22249 SC Primary

Addresses

Primary practice location

1079 Dutch Fork Rd
Irmo, SC 29063-8725

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

1040 Pinnacle Point Dr
Columbia, SC 29223-5735
Phone (803) 319-4401

Other identifiers 1

IdentifierTypeStateIssuer
NP5617MedicaidSC

Other names 1

  • Jennifer Shipman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102001844 SC Practitioner - Nurse Practitioner 7012252539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

5900 Garners Ferry Rd
Columbia, SC 29209-1301
Phone (803) 695-5450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22249SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Health - University of South Carolina Medical Group CurrentSince Dec 3, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Southeastern Ear Nose Throat Allergy and Sleep Disorders Institute CurrentSince Feb 15, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 3, 2018 Accepting new patients

Locations

1040 Pinnacle Point Dr
Columbia, SC 29223
Phone (803) 319-4401

5900 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 233-1019

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

1079 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 749-8900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1326513557",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 DUTCH FORK RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638725",
            "telephone_number": "803-749-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Pinnacle Point Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292235735",
            "country_code": "US",
            "telephone_number": "803-319-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5617",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHIPMAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.