Jerome Benitez Aya-Ay, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27210 Issued in SC

Practice address

8311 Warren H Abernathy Hwy
Spartanburg, SC 29301-1249

Phone

(864) 562-5100

Fax

(864) 562-5230

NPI assigned

Aug 25, 2006

Last updated

Nov 5, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jerome.aya-ay@5182044569604.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PMC Physician Network, L.L.C.

  dba Rock Hill Gynecological & Obstetrical Associates

  • Obstetrics & Gynecology Physician
  • Rock Hill, SC
  • NPI 1952776940
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1467560003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 WARREN H ABERNATHY HWY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011249",
            "telephone_number": "864-562-5100",
            "fax_number": "864-562-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYA-AY",
        "first_name": "JEROME",
        "middle_name": "BENITEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272109",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Austin, PAC
• Authentic Pearls LLC
• Gabriela Maria Avalos, MD
• Awaken Wellness LLC
• Axcess Healthcare Services, LLC
• Christopher Derek Ayers, D.M.D.
• B. Holland Satterfield, Jr. DMD LLC
• Babaji LLC (Reidville Road Pharmacy)
• Babaji LLC (Reidville Road Pharmacy LTC)
• Andrea Iva Babajko-Brown, PHARM.D

• Family Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, 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 Nov 5, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.