Jillian O. Eaddy, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

19044 Issued in SC

Practice address

111 Doctor Cir
Columbia, SC 29203-6502

Phone

(800) 491-0909

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PH Health Care Services IncGroup PAC ID 2163683012, 13 clinicians

Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Lowcountry Urgent Care LLC

  • Primary Care Nurse Practitioner
  • Beaufort, SC
  • NPI 1326364100
  Medicare reassignment Care Compare group NPD
• PH Healthcare Services, Inc.

  • In Home Supportive Care Agency
  • Easley, SC
  • NPI 1427475292
  Medicare reassignment Care Compare group NPD
• SC House Calls Inc

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1518048859
  Medicare reassignment NPD
• PH Health Care Services Inc

  • Community Based Hospice Care Agency
  • Easley, SC
  • NPI 1134491616
  NPD
• SC House Calls Inc

  • Oxygen Equipment & Supplies (DME)
  • Columbia, SC
  • NPI 1073201711
  NPD

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

• Capital Care Resources of South Carolina, LLC

  • Home Health Agency
  • Florence, SC
  • NPI 1528433521
  Care Compare affiliation

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1417354473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADDY",
        "first_name": "JILLIAN",
        "middle_name": "O.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "19044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4120",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamic Chiropractic and Functional Movement LLC
• Dynamic Health Care Systems, Inc.
• Ashley Elizabeth Dyson, PA-C
• E. L. Williams Enterprises L. L. C.
• Ashley V Eaddy, LPC-I
• Sandrita Monique Eaddy, FNP
• Tauna Nicole Eaddy, PT
• Jessica Lin Eadon, RN
• John L Eady, M.D.
• Eap Alliance, Inc.

• Primary Care Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.

Verify at the official NPI Registry.