Active NPI
Jeri Lynn Andrews, APRN, FNP-BC
- Family Nurse Practitioner
- Hartsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4198
- Practice address
- 1268 S 4TH St
Hartsville, SC 29550-0703 - Phone
- (843) 332-3422
- Fax
- (843) 332-3985
- NPI assigned
- Jun 14, 2010
- Last updated
- Nov 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4198 | SC | Primary |
Addresses
Primary practice location
1268 S 4TH St
Hartsville, SC 29550-0703
Mailing address
PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1652 | Medicaid | SC | |
| P00906621 | Other | SC | RAILROAD MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Medical University of South Carolina College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3080 Hwy 15-401 E
MC Coll, SC 29570-6128
Phone (843) 523-5751
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4198 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caresouth Carolina, Inc | Current | Accepting new patients | |
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Caresouth Carolina, Inc | Past | Accepting new patients | |
| Caresouth Carolina Inc | Past | Accepting new patients |
Locations
207 E Monroe St
Dillon, SC 29536
Phone (843) 774-3736
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
1268 S 4th St
Ste A
Hartsville, SC 29550
Phone (843) 332-3422
1268 S 4th St
Ste B
Hartsville, SC 29550
3080 Highway 15-401 E
Mc Coll, SC 29570
Phone (843) 523-5751
Interoperability endpoints
- jeri.andrews@csci.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
- Federally Qualified Health Center (FQHC)
- Dillon, SC
- NPI 1255762936
-
- Federally Qualified Health Center (FQHC)
- Bennettsville, SC
- NPI 1639458672
-
- Federally Qualified Health Center (FQHC)
- Society Hill, SC
- NPI 1194763714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1366763385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1090",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295511090",
"telephone_number": "843-857-0111",
"fax_number": "843-857-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295500703",
"telephone_number": "843-332-3422",
"fax_number": "843-332-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "JERI",
"middle_name": "LYNN",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "4198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1652",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00906621",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.