Individual provider Active NPI

Jayme Leigh Mason, APRN

  • Family Nurse Practitioner
  • Goose Creek, SC
National Provider Identifier
1497272421
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21246 Issued in SC
Practice address
7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7269
Phone
(843) 553-4383
Fax
(843) 553-4384
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21246 SC Primary
Family Nurse Practitioner 363LF0000X 5010061 NC

Addresses

Primary practice location

7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7269

Mailing address

201 Sigma Dr Ste 100
Summerville, SC 29486-7722
Phone (843) 553-4383

Other identifiers 1

IdentifierTypeStateIssuer
NP5260MedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213001742 SC Practitioner - Nurse Practitioner 6204198112 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Myrtle Beach, SC 29577
Phone (843) 945-3234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5010061NCMDFamily Nurse Practitioner
21246SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Hospice Services LLC CurrentSince Jul 4, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Aug 26, 2018 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Aug 26, 2018 Accepting new patients
Heartland Hospice Services, LLC CurrentSince Jul 4, 2023 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

7 S Alliance Dr
Ste 201A
Goose Creek, SC 29445
Phone (843) 553-4383

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

2050 Corporate Centre Dr
Ste 220A
Myrtle Beach, SC 29577
Phone (843) 945-3234

2050 Corporate Centre Dr
Ste 220
Myrtle Beach, SC 29577
Phone (843) 444-0813

7410 Northside Dr
Ste 250
North Charleston, SC 29420
Phone (843) 766-7646

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Organizations & group practices 8

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1497272421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIGMA DR STE 100",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867722",
            "telephone_number": "843-553-4383",
            "fax_number": "843-553-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR STE 211B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457269",
            "telephone_number": "843-553-4383",
            "fax_number": "843-553-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JAYME",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21246",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5260",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.