NPIMap

Individual provider Active NPI

Jessica P Lukowski, M.D.

  • Obstetrics & Gynecology Physician
  • Conway, SC
National Provider Identifier
1558556258
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33698 Issued in SC
Practice address
2376 Cypress Cir Ste 200
Conway, SC 29526-8994
Phone
(843) 347-7216
Fax
(843) 347-7218
NPI assigned
Sep 6, 2007
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33698 SC Primary

Addresses

Primary practice location

2376 Cypress Cir Ste 200
Conway, SC 29526-8994

Mailing address

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 234-6842

Other practice location 1

2376 Cypress Cir Ste 200A
Conway, SC 29526-8994
Phone (843) 347-7216

Other practice location 2

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone (843) 347-7216

Other practice location 3

6010 Highway 707 Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-7216

Other identifiers 5

IdentifierTypeStateIssuer
PG3429MedicaidSC
PG0367MedicaidSC
336988MedicaidSC
PG2763MedicaidSC
GP4505MedicaidSC

Other names 1

  • Jessica P Perry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000142 SC Practitioner - Obstetrics/Gynecology 9234294935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

2376 Cypress Cir
Suite 200
Conway, SC 29526-8994
Phone (843) 347-7216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33698SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Mar 3, 2020 Accepting new patients
Conway Hospital, Inc. CurrentSince Mar 3, 2020 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

2376 Cypress Cir
Ste 200
Conway, SC 29526
Phone (843) 234-1710

2376 Cypress Cir
Ste 200A
Conway, SC 29526
Phone (843) 347-7216

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

8004 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-8939

808 Farrar Dr
Conway, SC 29526
Phone (843) 234-8700

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 236-2700

Organizations & group practices 3

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1558556258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6842",
            "fax_number": "843-234-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR STE 200",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268994",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2376 Cypress Cir Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268994",
            "country_code": "US",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5010 Carolina Forest Blvd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295793579",
            "country_code": "US",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 Highway 707 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKOWSKI",
        "first_name": "JESSICA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "33698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG3429",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG0367",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336988",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG2763",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4505",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PERRY",
            "middle_name": "P",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.