Individual provider Active NPI

Jessica Litsey, M.D.

  • Pediatrics Physician
  • Summerville, SC
National Provider Identifier
1578900437
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
LL35664 Issued in SC
Practice address
202 Bentons Lodge Rd
Summerville, SC 29485-6322
Phone
(843) 871-2588
NPI assigned
May 31, 2013
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LL35664 SC Primary

Addresses

Primary practice location

202 Bentons Lodge Rd
Summerville, SC 29485-6322

Mailing address

202 Bentons Lodge Rd
Summerville, SC 29485-6322
Phone (843) 871-2588

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL35664SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Pediatrics Pediatrics Past Accepting new patients
Oakbrook Pediatrics, PA Pediatrics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1578900437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BENTONS LODGE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856322",
            "telephone_number": "843-871-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BENTONS LODGE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856322",
            "telephone_number": "843-871-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITSEY",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL35664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.