Individual provider Active NPI

Jessica McAbee Coleman, M.D.

  • Nephrology Physician
  • Beaufort, SC
National Provider Identifier
1376785394
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
36141 Issued in SC
Practice address
16 Kemmerlin LN Ste a
Beaufort, SC 29907-2709
Phone
(843) 524-2002
Fax
(843) 524-3522
NPI assigned
Apr 6, 2009
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 070252 GA
Nephrology Physician 207RN0300X 44468 KY
Nephrology Physician 207RN0300X 36141 SC Primary

Addresses

Primary practice location

16 Kemmerlin LN Ste a
Beaufort, SC 29907-2709

Mailing address

1115 Lexington Ave.
Savannah, GA 31404
Phone (912) 354-4813

Other names 1

  • Jessica Amy McAbee 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131002000405 SC Practitioner - Nephrology 7911195839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Mercer University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16 Okatie Ctr S Blvd
Suite 100
Okatie, SC 29909-7533
Phone (843) 706-9955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36141SCMDPharmacist
44468KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Medical Associates PC CurrentSince Aug 1, 2013 Accepting new patients
Nephrology and Hypertension Medical Associates PC Nephrology Current Accepting new patients
Nephrology and Hypertension Medical Associates PC Nephrology Past Accepting new patients

Locations

3025 Shrine Rd
Ste 450
Brunswick, GA 31520
Phone (912) 264-4613

1115 Lexington Ave
Savannah, GA 31404
Phone (912) 354-4813

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

11706 Mercy Blvd
Savannah, GA 31419
Phone (912) 355-4557

1460 E Victory Dr
Savannah, GA 31404
Phone (888) 764-6987

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

16 Kemmerlin Ln
Beaufort, SC 29907
Phone (843) 476-4702

16 Kemmerlin Ln
#A
Beaufort, SC 29907
Phone (843) 524-2002

16 Okatie Center Blvd S
Ste 100
Okatie, SC 29909
Phone (843) 706-9955

Interoperability endpoints

  • Direct secure messaging: jessicamcabeecoleman@nhma.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1376785394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 LEXINGTON AVE.",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-354-4813",
            "fax_number": "912-354-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KEMMERLIN LN STE A",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072709",
            "telephone_number": "843-524-2002",
            "fax_number": "843-524-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JESSICA",
        "middle_name": "MCABEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "070252",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "44468",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "36141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCABEE",
            "middle_name": "AMY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.