Individual provider Active NPI

Jennifer Threatt Perry, M.D.

  • Ophthalmology Physician
  • Rock Hill, SC
National Provider Identifier
1609213669
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40959 Issued in SC
Practice address
1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone
(803) 328-0168
Fax
(803) 325-8473
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X LP02915 RI
Ophthalmology Physician 207W00000X 40959 SC Primary
Ophthalmology Physician 207W00000X 2017-00053 NC
Internal Medicine Physician 207R00000X LP02915 RI

Addresses

Primary practice location

1773 Ebenezer Rd
Rock Hill, SC 29732-1101

Mailing address

1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (033) 280-1688

Other names 1

  • Jennifer Elaine Threatt 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507001099 SC Practitioner - Ophthalmology 6901024611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Brody School of Medicine at East Carolina University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Hill Eye Clinic PAGroup PAC ID 8921083502, 6 clinicians

Practice addresses (Care Compare)

1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (803) 328-0168

Merit-based Incentive Payment System (MIPS)

Final score
91.48 of 100Reported as group
Quality
91.19
Improvement activities
40
Cost
83.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP02915RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Hill Eye Clinic, P.a. Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients

Locations

1698 Highway 160 W
Ste 110
Fort Mill, SC 29708
Phone (803) 547-9510

1773 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 328-0168

Organizations & group practices 1

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1609213669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321101",
            "telephone_number": "033-280-1688",
            "fax_number": "803-325-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321101",
            "telephone_number": "803-328-0168",
            "fax_number": "803-325-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JENNIFER",
        "middle_name": "THREATT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "LP02915",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "40959",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2017-00053",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP02915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "THREATT",
            "middle_name": "ELAINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.