Active NPI
Jeffre Rogers McCutcheon, PA-C
- Physician Assistant
- Florence, SC
National Provider Identifier
1538715784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3191
- Practice address
- 200 W Evans St
Florence, SC 29501-3469 - Phone
- (843) 661-1531
- NPI assigned
- Aug 14, 2019
- Last updated
- Aug 14, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3191 | SC | Primary |
Addresses
Primary practice location
200 W Evans St
Florence, SC 29501-3469
Mailing address
1214 W Roseneath Rd
Florence, SC 29501-5748
Phone (843) 250-5595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3191 | Other | SC | LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3191 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1538715784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 W ROSENEATH RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015748",
"telephone_number": "843-250-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W EVANS ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013469",
"telephone_number": "843-661-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEON",
"first_name": "JEFFRE",
"middle_name": "ROGERS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "3191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3191",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.