Individual provider Active NPI

Jennifer Ervine King, NP-C

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1588121305
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22493 Issued in SC
Practice address
331 E Main St
Rock Hill, SC 29730-5383
Phone
(864) 305-5000
NPI assigned
Feb 28, 2019
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22493 SC Primary

Addresses

Primary practice location

331 E Main St
Rock Hill, SC 29730-5383

Mailing address

2064 Orr Rd
MC Connells, SC 29726-8726

Other practice location 1

800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1214

Other practice location 2

1190 Filbert Hwy Ste 110
York, SC 29745-9324
Phone (803) 628-0004

Other names 1

  • Jennifer Lee Ervine Former name

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
I20190417000338 SC Practitioner - Nurse Practitioner 4082955265 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

1190 Filbert Hwy
Suite 110
York, SC 29745-9324
Phone (803) 628-0004

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22493SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sahaj Healthcare LLC CurrentSince Jan 1, 2024 Accepting new patients
SC House Calls Inc CurrentSince Mar 18, 2019 Accepting new patients
Piedmont Physician Network LLC Family CurrentSince Jul 9, 2024 Accepting new patients
Musc Community Physicians CurrentSince Nov 10, 2023 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Oct 15, 2021 Accepting new patients
SC House Calls Inc CurrentSince Mar 18, 2019 Accepting new patients
Musc Community Physicians CurrentSince Nov 10, 2023 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

1649 J a Cochran Byp
Chester, SC 29706
Phone (803) 377-4616

515 Rivercrossing Dr
Ste 180
Fort Mill, SC 29715
Phone (803) 547-7541

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

1920 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 325-2098

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

231 Herlong Ave S
Ste 101
Rock Hill, SC 29732
Phone (803) 281-0304

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

1190 Filbert Hwy
#110
York, SC 29745
Phone (803) 628-0004

1190 Filbert Hwy
Ste 110
York, SC 29745
Phone (803) 628-0004

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • Direct secure messaging: jennifer.king.1@14929.direct.athenahealth.com
  • Direct secure messaging: jking450336@direct.musc.edu

Organizations & group practices 7

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1588121305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 ORR RD",
            "city": "MC CONNELLS",
            "state": "SC",
            "postal_code": "297268726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305383",
            "telephone_number": "864-305-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Meeting St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202202",
            "country_code": "US",
            "telephone_number": "803-286-1214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 Filbert Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "SC",
            "postal_code": "297459324",
            "country_code": "US",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "ERVINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ERVINE",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.