Active NPI
Jerry A Schexnayder, MD
- Orthopaedic Surgery Physician
- Mullins, SC
National Provider Identifier
1497713689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 18802
- Practice address
- 2829 E Highway 76
Mullins, SC 29574-6035 - Phone
- (843) 431-2280
- Fax
- (843) 431-2297
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 18802 | SC | Primary |
Addresses
Primary practice location
2829 E Highway 76
Mullins, SC 29574-6035
Mailing address
2829 E Highway 76
Mullins, SC 29574-6035
Phone (843) 431-2280
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1129707004 | Other | SC | CIGNA |
| 632831 | Other | SC | AETNA HMO NETWORK |
| 01839531 | Medicaid | PA | |
| 1061050 | Other | WV | WV WORKERS COMPENSATION |
| 188022 | Medicaid | SC | |
| 890511L | Medicaid | NC | |
| 0599453 | Other | NY | GHI |
| 720507 | Other | SC | MB EVOLUTIONS |
| 232753 | Other | SC | CHOICECARE |
| 263155 | Other | AL | ONE HEALTH |
| 873957 | Other | SC | FIRST HEALTH |
| GP5462 | Medicaid | SC | |
| 720506 | Other | SC | MI EVOLUTIONS |
| A154 | Other | NC | NC UHC |
| 5417700 | Other | SC | HEALTHSOURCE/CIGNA |
| 5828006 | Other | SC | AETNA OPEN NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1497713689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 E HIGHWAY 76",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746035",
"telephone_number": "843-431-2280",
"fax_number": "843-431-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 E HIGHWAY 76",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746035",
"telephone_number": "843-431-2280",
"fax_number": "843-431-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEXNAYDER",
"first_name": "JERRY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "18802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1129707004",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO NETWORK",
"identifier": "632831",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01839531",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORKERS COMPENSATION",
"identifier": "1061050",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188022",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890511L",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0599453",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MB EVOLUTIONS",
"identifier": "720507",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICECARE",
"identifier": "232753",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH",
"identifier": "263155",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "873957",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5462",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI EVOLUTIONS",
"identifier": "720506",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC UHC",
"identifier": "A154",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE/CIGNA",
"identifier": "5417700",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA OPEN NETWORK",
"identifier": "5828006",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.