Joseph Michael Jaffke, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3490 Issued in SC

Practice address

1220 Sumner Ave
North Charleston, SC 29406-3822

Phone

(843) 225-1115

NPI assigned

Dec 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Psychiatry LLCGroup PAC ID 4789922154, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sunrisepsychiatryllc.josephjaffke@143388.advancedmd-direct.com

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.

• Sunrise Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Pleasant, SC
  • NPI 1497234223
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1467057521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CYPRESS VIEW RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294459630",
            "telephone_number": "843-696-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SUMNER AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063822",
            "telephone_number": "843-225-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFKE",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "3490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnasia Jackson
• Jonette Ann Jackson
• Matthew Jackson, DPT
• Michelle Jackson
• Skye Jacques
• Alyssa Jagdeo, OD
• Ramnarine None Jaglal, D.D.S.
• James T. Martin Jr. MD
• Justin E James, D.C.
• Melissa Anne Nix Janney, R.N.

• Family Medicine Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.