James E. Jennings Jr., M.D.
Individual provider Active NPI Adult Reconstructive Orthopaedic Surgery Physician · Greenville, SC
NPI 1396702452 · NPPES record last updated Dec 12, 2007
Key facts
- NPI
- 1396702452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License
- 10938 (SC)
- Practice address
- 35 International Dr
Greenville, SC 29615-4816 - Phone
- (864) 234-7654
- Fax
- (864) 675-1657
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Medical College of Georgia School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Medical Group Greenville Specialty Care LLC
Practice addresses (Care Compare)
1050 Grove Rd
Greenville, SC 29605-4649
Phone (864) 234-7654
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
35 International Dr
Greenville, SC 29615-4816
Phone (864) 513-1136
Hospital & facility affiliations
- St Francis Hospital Home Care
- Interim Healthcare of the Upstate
- Home Health Services of Self Regional Healthcare
- NHC Homecare Laurens
- St Francis-Downtown
- Self Regional Healthcare
- Anmed Health
- Cannon Memorial Hospital
- Prisma Health Baptist Easley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 64 |
| Knee replacement | 230 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060908000503 | SC | Practitioner - Orthopedic Surgery | 4981608759 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10938 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Bon Secours Medical Group Greenville Specialty Care LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| St Francis Physician Services Inc | Orthopaedic Surgery | Past | Accepting new patients |
Locations
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020
35 International Dr
Greenville, SC 29615
Phone (864) 242-5020
Interoperability endpoints
- jjennings@poa1920.srs-direct.com
- jjennings1152320@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 10938 | SC | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 10938 | SC | Yes |
Addresses
Primary practice location
35 International Dr
Greenville, SC 29615-4816
Mailing address
35 International Dr
Greenville, SC 29615-4816
Phone (864) 234-7654
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109386 | Medicaid | SC | |
| 8157 | Other | SC | MEDICARE PTAN |
| 1295769438 | Other | SC | GROUP NPI |
NPI Registry JSON
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1396702452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 INTERNATIONAL DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154816",
"telephone_number": "864-234-7654",
"fax_number": "864-675-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 INTERNATIONAL DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154816",
"telephone_number": "864-234-7654",
"fax_number": "864-675-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "10938",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "SC",
"license": "10938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109386",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8157",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1295769438",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
- Jennifer Powell-Taschetti Midwifery LLC
- Jennings Medcare LLC
- Brooke E Jennings
- Harold C. Jennings
- Jacquelynn Jennings
- Kaley Sanford Jennings
- Stelina Jennings
- Tyra Jennings
- Trenton F Jensen
- Kyle James Jeray
All providers in Greenville, SC · Adult Reconstructive Orthopaedic Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.