Individual provider Active NPI

Jessica Powell Brown, APRN

  • Women's Health Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1548845944
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
24785 Issued in SC
Practice address
1225 Montague Avenue Ext
Greenwood, SC 29649-9027
Phone
(864) 519-0054
Fax
(864) 447-5707
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 24785 SC Primary

Addresses

Primary practice location

1225 Montague Avenue Ext
Greenwood, SC 29649-9027

Mailing address

1225 Montague Avenue Ext
Greenwood, SC 29649-9027
Phone (864) 519-0054

Other practice location 1

212 Overland Dr
Greenwood, SC 29646-4069
Phone (864) 223-7472

Other identifiers 3

IdentifierTypeStateIssuer
104072102OtherNATIONAL CERTIFICATION CORPORATION ID
24785OtherSCSC LLR BOARD OF NURSING
1548845944OtherNPI

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
I20220924000241 SC Practitioner - Nurse Practitioner 1759766934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Healing Presence CurrentSince Apr 30, 2023 Accepting new patients
Juniper Women'S Health & Wellness, LLC Women'S Health CurrentSince May 1, 2022 Accepting new patients

Locations

107 Venture Ct
Greenwood, SC 29649
Phone (864) 229-9029

853 Highway 72 Byp
Greenwood, SC 29649
Phone (864) 302-0202

1225 Montague Avenue Ext
Greenwood, SC 29649
Phone (864) 519-0054

Organizations & group practices 2

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1548845944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MONTAGUE AVENUE EXT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499027",
            "telephone_number": "864-519-0054",
            "fax_number": "864-447-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MONTAGUE AVENUE EXT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499027",
            "telephone_number": "864-519-0054",
            "fax_number": "864-447-5707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Overland Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464069",
            "country_code": "US",
            "telephone_number": "864-223-7472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "middle_name": "POWELL",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "24785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION CORPORATION ID",
            "identifier": "104072102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LLR BOARD OF NURSING",
            "identifier": "24785",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548845944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.