NPIMap

Individual provider Active NPI

Jarrell Dupree Nesmith, D.O

  • Family Medicine Physician
  • Boiling Springs, SC
National Provider Identifier
1407267263
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36729 Issued in SC
Practice address
2400 Boiling Springs Rd
Boiling Springs, SC 29316-5304
Phone
(864) 599-0731
Fax
(864) 599-0791
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36729 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X SC

Addresses

Primary practice location

2400 Boiling Springs Rd
Boiling Springs, SC 29316-5304

Mailing address

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

Other practice location 1

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

Other identifiers 6

IdentifierTypeStateIssuer
L36729MedicaidSC
PENDINGMedicaidSC
SCA7316121OtherSCMEDICARE PIN
SCA7317628OtherSCMEDICARE PIN
SCA731J577OtherSCMEDICARE PIN
SCA7316067OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnesmith9248@direct-srhs.et0939.epichosted.com Direct

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
I20170802002835 SC Practitioner - Family Practice 9830310267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2014
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)

2400 Boiling Springs Rd
Suite a
Boiling Springs, SC 29316-5304
Phone (864) 599-0731

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36729SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 26, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Dec 1, 2022 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Dec 1, 2022 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Jun 26, 2023 Accepting new patients
Regenesis Organization Community Health Center Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients

Locations

2000 E Greenville St
Ste 4500
Anderson, SC 29621
Phone (864) 512-4500

2400 Boiling Springs Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 599-0731

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1341 N Limestone St
Gaffney, SC 29340
Phone (864) 489-3300

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

2400 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 599-0731

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

Interoperability endpoints

  • Direct secure messaging: jnesmith646809@direct.ghs.myhfn.org
  • Direct secure messaging: jnesmith9248@direct-srhs.et0939.epichosted.com

Organizations & group practices 7

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.

Hospital & facility affiliations 52

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

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1407267263",
    "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": "2400 BOILING SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165304",
            "telephone_number": "864-599-0731",
            "fax_number": "864-599-0791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 W Floyd Baker Blvd",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "29341",
            "country_code": "US",
            "telephone_number": "864-489-3300",
            "fax_number": "864-488-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESMITH",
        "first_name": "JARRELL",
        "middle_name": "DUPREE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36729",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L36729",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCA7316121",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCA7317628",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCA731J577",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCA7316067",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnesmith9248@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jnesmith9248@direct-srhs.et0939.epichosted.com",
            "address_1": "840 W Floyd Baker Blvd",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.