Individual provider Active NPI

Jill Hudgens Boland, M.D.

  • Maternal & Fetal Medicine Physician
  • Greenville, SC
National Provider Identifier
1447488317
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
32027 Issued in SC
Practice address
101 Halton Village Cir
Greenville, SC 29607-6825
Phone
(864) 455-1600
Fax
(864) 286-5298
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X ME116831 FL
Maternal & Fetal Medicine Physician 207VM0101X 32027 SC Primary

Addresses

Primary practice location

101 Halton Village Cir
Greenville, SC 29607-6825

Mailing address

1 Independence PT
Suite 212
Greenville, SC 29615-4545

Other practice location 1

853 N Church St Ste 610
Spartanburg, SC 29303-3070
Phone (864) 560-1600

Other identifiers 3

IdentifierTypeStateIssuer
SC92914746OtherSCMEDICARE PIN
320272MedicaidSC
MFM068MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jboland261688@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: 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
I20161121001416 SC Practitioner - Obstetrics/Gynecology 6204085640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

853 N Church St
Suite 610
Spartanburg, SC 29303-3070
Phone (864) 560-1600

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32027SCMDMaternal & Fetal Medicine Physician
ME116831FLMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Spartanburg Medical Center Maternal & Fetal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
University Medical Group Department of OBGYN Past Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology Past Accepting new patients
Institute for Women'S Health and Body, LLC Obstetrics & Gynecology PastSince Jan 15, 2019 Accepting new patients
Prisma Health University Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

724 Hyatt St
Gaffney, SC 29341
Phone (864) 488-3980

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

853 N Church St
Ste 610
Spartanburg, SC 29303
Phone (864) 560-1600

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1447488317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HALTON VILLAGE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-455-1600",
            "fax_number": "864-286-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 N Church St Ste 610",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033070",
            "country_code": "US",
            "telephone_number": "864-560-1600",
            "fax_number": "864-560-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "JILL",
        "middle_name": "HUDGENS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME116831",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "SC",
            "license": "32027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC92914746",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320272",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MFM068",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jboland261688@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jboland261688@direct-srhs.et0939.epichosted.com",
            "address_1": "853 N Church St Ste 610",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.